Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $73.09 / $73.09	Facility		$73.09	$73.09	$73.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $73.09 / $240.85	Professional		$70.18	$73.09	$240.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Professional		$83.49	$83.49	$83.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $54.65 / $100.91	Facility		$40.77	$54.65	$100.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Professional		$33.15	$33.15	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $94.24 / $110.69	Professional		$69.03	$94.24	$110.69