Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $630.96	Professional		$245.47	$331.13	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $380.19	Facility		$234.42	$302.00	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $794.33	Professional		$346.74	$501.19	$794.33