Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.50 / $847.50 / $847.50	Professional		$847.50	$847.50	$847.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,094.69 / $1,094.69 / $1,151.19	Professional		$1,094.69	$1,094.69	$1,151.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.88 / $889.88 / $889.88	Facility		$889.88	$889.88	$889.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.09 / $745.09 / $847.50	Professional		$745.09	$745.09	$847.50
United Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $296.63 / $423.75	Professional		$296.63	$296.63	$423.75