Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $4,073.80	Professional		$7.94	$7.94	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $60.26	Professional		$30.20	$33.11	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $11.75	Facility		$7.94	$7.94	$11.75