Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $93.27 / $93.27	Facility		$93.27	$93.27	$93.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $91.51 / $155.81	Professional		$91.51	$91.51	$155.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $108.57	Professional		$60.00	$60.00	$108.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $77.62 / $121.25	Facility		$64.80	$77.62	$121.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $115.97 / $115.97	Professional		$115.97	$115.97	$115.97
United Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $114.71 / $174.66	Professional		$83.37	$114.71	$174.66