Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $74.13	Professional		$52.48	$61.66	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $114.82	Facility		$54.95	$70.79	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $562.34 / $562.34	Facility		$251.19	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $158.49	Professional		$79.43	$107.15	$158.49