Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.48 / $664.96 / $1,329.93	Facility		$332.48	$664.96	$1,329.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.48 / $531.97 / $531.97	Professional		$332.48	$531.97	$531.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $687.13 / $722.60 / $722.60	Professional		$687.13	$722.60	$722.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.57 / $558.57 / $558.57	Facility		$558.57	$558.57	$558.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.69 / $467.69 / $531.97	Professional		$467.69	$467.69	$531.97
United Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $186.19 / $265.99	Professional		$186.19	$186.19	$265.99