Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.07 / $2,095.00 / $7,838.38	Facility		$187.07	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $183.73 / $187.07	Professional		$183.73	$183.73	$187.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $477.20	Professional		$60.00	$85.00	$477.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $32.33 / $274.95	Facility		$22.08	$32.33	$274.95
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 $349.50 / $475.41 / $575.61	Professional		$349.50	$475.41	$575.61