Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.89 / $2,095.00 / $7,838.38	Facility		$252.89	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $261.49 / $348.81	Professional		$192.80	$261.49	$348.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $221.78 / $355.52	Facility		$147.02	$221.78	$355.52
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.76 / $452.44 / $677.74	Professional		$342.76	$452.44	$677.74