Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $112.73	Facility		$112.73	$112.73	$112.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $125.11 / $171.36	Professional		$111.55	$125.11	$171.36
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 $148.77 / $185.92 / $216.53	Facility		$148.77	$185.92	$216.53