Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $57.78 / $57.78	Facility		$57.78	$57.78	$57.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $63.48 / $64.22	Professional		$57.17	$63.48	$64.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $50.23 / $55.07	Facility		$47.29	$50.23	$55.07