Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $57.54 / $87.10	Professional		$19.05	$57.54	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $85.11	Professional		$52.48	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $69.18 / $154.88	Facility		$7.94	$69.18	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $44.67	Professional		$23.44	$30.90	$44.67