Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Professional		$707.95	$707.95	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $60.26 / $100.00	Professional		$34.67	$60.26	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Facility		$707.95	$707.95	$1,348.96