Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $2,095.00 / $7,838.38	Facility		$54.89	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $54.89	Professional		$53.87	$53.87	$54.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $143.16	Professional		$60.00	$85.00	$143.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $18.84 / $111.58	Facility		$16.51	$18.84	$111.58
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 $15.50 / $21.01 / $25.35	Professional		$15.50	$21.01	$25.35