Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $2,095.00 / $7,838.38	Facility		$287.56	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $798.15	Professional		$287.56	$287.56	$798.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $85.00	Professional		$45.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $244.43	Facility		$244.43	$244.43	$244.43
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00