Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.48 / $2,145.78 / $7,838.38	Facility		$164.48	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.48 / $170.06 / $170.06	Professional		$164.48	$170.06	$170.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $684.75	Professional		$60.00	$85.00	$684.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $310.68 / $542.54	Facility		$171.11	$310.68	$542.54
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.52 / $274.33 / $357.51	Professional		$223.52	$274.33	$357.51