Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $446.68 / $645.65	Professional		$41.69	$446.68	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $467.74 / $645.65	Facility		$42.66	$467.74	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $93.33	Professional		$45.71	$70.79	$93.33