Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $95.50	Professional		$57.54	$79.43	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $85.11 / $141.25	Facility		$54.95	$85.11	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $169.82	Professional		$81.28	$87.10	$169.82