Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $281.84 / $281.84	Facility		$107.15	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $109.65	Professional		$67.61	$91.20	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $85.11	Professional		$50.12	$61.66	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $93.33 / $114.82	Facility		$83.18	$93.33	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $575.44	Facility		$263.03	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $169.82	Professional		$114.82	$138.04	$169.82