Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.36 / $109.36 / $109.36	Professional		$109.36	$109.36	$109.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $108.17	Professional		$60.00	$85.00	$108.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.57 / $337.57 / $337.57	Facility		$337.57	$337.57	$337.57
United Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $121.62 / $192.09	Professional		$109.46	$121.62	$192.09