Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $41.26 / $41.26	Facility		$41.26	$41.26	$41.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $40.59 / $41.26	Professional		$35.10	$40.59	$41.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $60.00 / $85.00	Professional		$49.47	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $35.10 / $40.59	Facility		$24.74	$35.10	$40.59
United Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $78.83 / $116.01	Professional		$61.25	$78.83	$116.01