Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $812.83	Professional		$354.81	$407.38	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $933.25 / $1,412.54	Facility		$436.52	$933.25	$1,412.54