Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $2,095.00 / $7,838.38	Facility		$73.06	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $71.72 / $114.52	Professional		$43.79	$71.72	$114.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $60.00 / $101.03	Professional		$47.58	$60.00	$101.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $62.46 / $76.70	Facility		$44.77	$62.46	$76.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $52.86 / $104.86	Professional		$29.48	$52.86	$104.86
United Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $112.71 / $155.53	Professional		$87.74	$112.71	$155.53