Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $154.36 / $154.36	Facility		$154.36	$154.36	$154.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $79.59 / $171.23	Professional		$73.12	$79.59	$171.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $296.68 / $1,500.00	Professional		$85.00	$296.68	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $67.31 / $68.64	Facility		$62.72	$67.31	$68.64