Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.21 / $908.25 / $1,007.17	Professional		$658.21	$908.25	$1,007.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $108.96 / $126.86	Professional		$60.00	$108.96	$126.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $899.71 / $1,363.05	Facility		$65.09	$899.71	$1,363.05
United Facility/Professional Professional Modifier Low / Median / High Price $934.32 / $1,291.56 / $1,731.24	Professional		$934.32	$1,291.56	$1,731.24