Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $66.83 / $66.83	Facility		$66.83	$66.83	$66.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $66.83 / $110.40	Professional		$51.42	$66.83	$110.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $99.90	Professional		$50.00	$70.00	$99.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $59.37 / $65.52	Facility		$50.46	$59.37	$65.52
United Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $111.09 / $159.59	Professional		$90.50	$111.09	$159.59