Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $41.17 / $41.17	Professional		$41.17	$41.17	$41.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $73.33 / $79,999.20	Facility		$61.05	$73.33	$79,999.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $52.73 / $52.73	Professional		$52.73	$52.73	$52.73
United Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $61.05 / $66.59	Professional		$61.05	$61.05	$66.59