Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.79 / $716.15 / $716.15	Professional		$569.79	$716.15	$716.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.21 / $192.31 / $2,289.48	Professional		$128.21	$192.31	$2,289.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $602.04 / $946.07	Facility		$460.08	$602.04	$946.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $460.08 / $460.08	Professional		$460.08	$460.08	$460.08
United Facility/Professional Professional Modifier Low / Median / High Price $608.98 / $704.39 / $1,078.03	Professional		$608.98	$704.39	$1,078.03