Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $575.44	Facility		$263.03	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $208.93	Professional		$123.03	$141.25	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $380.19	Professional		$269.15	$269.15	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $512.86	Facility		$158.49	$229.09	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $251.19	Professional		$186.21	$190.55	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $104.71	Professional		$74.13	$74.13	$104.71