Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $30.41 / $30.41	Professional		$30.41	$30.41	$30.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $54.17 / $79,999.20	Facility		$45.10	$54.17	$79,999.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $38.95 / $38.95	Professional		$38.95	$38.95	$38.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $45.09 / $49.19	Professional		$45.09	$45.09	$49.19