Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $54.95	Professional		$26.92	$39.81	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $134.90	Professional		$50.12	$60.26	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $61.66	Facility		$23.99	$40.74	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $257.04 / $257.04	Facility		$114.82	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $125.89	Professional		$51.29	$75.86	$125.89