Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.08 / $2,145.78 / $7,838.38	Facility		$100.08	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $98.69 / $100.89	Professional		$66.37	$98.69	$100.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $148.69	Professional		$32.34	$32.34	$148.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $104.88 / $172.33	Facility		$68.67	$104.88	$172.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $130.46 / $197.67	Professional		$120.17	$130.46	$197.67
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,084.00 / $1,401.00	Facility		$230.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $163.61 / $209.06	Professional		$133.32	$163.61	$209.06