Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $21.24 / $21.24	Professional		$21.24	$21.24	$21.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $423.22 / $634.83	Professional		$32.34	$423.22	$634.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $21.24 / $60.00	Facility		$21.24	$21.24	$60.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Professional		$5.23	$5.23	$5.23