Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $262.20 / $524.42	Facility		$131.11	$262.20	$524.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $209.77 / $209.77	Professional		$131.11	$209.77	$209.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $284.94 / $284.94	Professional		$270.95	$284.94	$284.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $220.26	Facility		$174.81	$174.81	$220.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.42 / $209.77 / $242.99	Professional		$184.42	$209.77	$242.99
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $104.89	Professional		$73.42	$73.42	$104.89