Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.43 / $240.43 / $240.43	Facility		$240.43	$240.43	$240.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $988.51 / $988.51	Professional		$192.34	$988.51	$988.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $87.10 / $186.77	Professional		$32.34	$87.10	$186.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.68 / $573.09 / $759.75	Facility		$265.68	$573.09	$759.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $330.60 / $455.96	Professional		$290.27	$330.60	$455.96
United Facility/Professional Facility Modifier Low / Median / High Price $11,780.82 / $11,780.82 / $11,780.82	Facility		$11,780.82	$11,780.82	$11,780.82
United Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $298.63 / $451.88	Professional		$174.67	$298.63	$451.88