Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Facility		$91.66	$91.66	$91.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $120.06	Professional		$91.66	$91.66	$120.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $93.33 / $120.06	Facility		$77.91	$93.33	$120.06