Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $524.81	Professional		$223.87	$281.84	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $616.60	Professional		$45.71	$67.61	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $371.54	Facility		$181.97	$239.88	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $371.54	Professional		$181.97	$181.97	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $257.04 / $446.68	Facility		$25.70	$257.04	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $446.68	Professional		$239.88	$281.84	$446.68