Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.38 / $407.04 / $781.50	Facility		$195.38	$407.04	$781.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $325.63 / $325.63	Professional		$195.38	$325.63	$325.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $403.78 / $424.62 / $424.62	Professional		$403.78	$424.62	$424.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.23 / $328.23 / $328.23	Facility		$328.23	$328.23	$328.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $312.60	Professional		$274.83	$274.83	$312.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $156.30	Professional		$109.41	$109.41	$156.30