Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,318.26	Professional		$575.44	$758.58	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $2,290.87	Professional		$128.82	$190.55	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $954.99	Facility		$457.09	$602.56	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $933.25	Professional		$457.09	$457.09	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $660.69 / $1,122.02	Facility		$64.57	$660.69	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,122.02	Professional		$602.56	$707.95	$1,122.02