Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $2,095.00 / $7,838.38	Facility		$96.25	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $99.46 / $163.36	Professional		$96.25	$99.46	$163.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $149.38	Professional		$50.00	$85.00	$149.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.29 / $103.78 / $163.36	Facility		$53.29	$103.78	$163.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $127.90 / $205.68	Professional		$60.00	$127.90	$205.68
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $141.53 / $203.27	Professional		$112.48	$141.53	$203.27