Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $741.31	Professional		$34.67	$47.86	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $309.03 / $398.11	Professional		$91.20	$309.03	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $177.83 / $4,073.80	Facility		$30.20	$177.83	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $524.81	Professional		$346.74	$467.74	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10