Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.08 / $2,145.78 / $7,838.38	Facility		$89.08	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $92.09 / $92.09	Professional		$89.08	$92.09	$92.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $116.33	Professional		$60.00	$60.00	$116.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $82.58 / $132.76	Facility		$66.11	$82.58	$132.76
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 $75.95 / $113.94 / $148.49	Professional		$75.95	$113.94	$148.49