Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $776.25	Facility		$588.84	$707.95	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $239.88 / $239.88	Facility		$107.15	$239.88	$239.88