Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $19.66 / $19.66	Professional		$19.66	$19.66	$19.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $35.01 / $79,999.20	Facility		$29.15	$35.01	$79,999.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $25.18 / $25.18	Professional		$25.18	$25.18	$25.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $29.15 / $31.80	Professional		$29.15	$29.15	$31.80