Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $394.08 / $788.16	Facility		$197.04	$394.08	$788.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.04 / $315.26 / $315.26	Professional		$197.04	$315.26	$315.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.22 / $428.23 / $428.23	Professional		$407.22	$428.23	$428.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $331.03	Facility		$331.03	$331.03	$331.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.17 / $277.17 / $315.26	Professional		$277.17	$277.17	$315.26
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $110.34 / $157.63	Professional		$110.34	$110.34	$157.63