Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $891.25	Professional		$467.74	$660.69	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $2,089.30	Facility		$630.96	$891.25	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $776.25	Professional		$741.31	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Professional		$295.12	$295.12	$426.58