Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.82 / $921.82 / $921.82	Professional		$921.82	$921.82	$921.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,768.80 / $1,768.80 / $1,768.80	Facility		$1,768.80	$1,768.80	$1,768.80
United Facility/Professional Professional Modifier Low / Median / High Price $674.44 / $1,072.00 / $1,664.08	Professional		$674.44	$1,072.00	$1,664.08