Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $194.98	Professional		$70.79	$70.79	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $70.79	Professional		$41.69	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Facility		$70.79	$70.79	$117.49