Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.98 / $189.98 / $189.98	Facility		$189.98	$189.98	$189.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $2,608.00	Professional		$50.00	$85.00	$2,608.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $715.50 / $715.50	Professional		$715.50	$715.50	$715.50
United Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $262.89 / $387.18	Professional		$172.51	$262.89	$387.18