Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $209.58 / $402.39	Facility		$100.60	$209.58	$402.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $167.66 / $167.66	Professional		$100.60	$167.66	$167.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $218.63 / $218.63	Professional		$207.90	$218.63	$218.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $169.00 / $169.00	Facility		$169.00	$169.00	$169.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $141.51 / $160.96	Professional		$141.51	$141.51	$160.96
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $80.48	Professional		$56.33	$56.33	$80.48