Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $50.12	Professional		$30.20	$38.90	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $77.62	Facility		$30.20	$45.71	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $162.18 / $162.18	Facility		$74.13	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $125.89	Professional		$51.29	$75.86	$125.89