Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $32.64 / $32.64	Professional		$32.64	$32.64	$32.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $58.13 / $79,999.20	Facility		$48.40	$58.13	$79,999.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $41.80 / $41.80	Professional		$41.80	$41.80	$41.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $48.40 / $52.80	Professional		$48.40	$48.40	$52.80