Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Facility		$131.16	$131.16	$131.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $138.26 / $222.85	Professional		$131.16	$138.26	$222.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $287.92 / $368.15	Facility		$177.55	$287.92	$368.15