Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $616.60	Professional		$34.67	$47.86	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $245.47 / $323.59	Professional		$74.13	$245.47	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $177.83 / $4,073.80	Facility		$30.20	$177.83	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $436.52	Professional		$288.40	$389.05	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10