Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $15.84 / $15.84	Facility		$15.84	$15.84	$15.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.84 / $244.00	Professional		$12.18	$15.84	$244.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $60.00 / $85.00	Professional		$22.20	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $13.75 / $75.00	Facility		$11.69	$13.75	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $50.61 / $50.61	Professional		$50.61	$50.61	$50.61
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 $19.13 / $25.75 / $37.20	Professional		$19.13	$25.75	$37.20