Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $2,095.00 / $7,838.38	Facility		$49.52	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $49.52 / $83.04	Professional		$31.79	$49.52	$83.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $60.00 / $85.00	Professional		$31.33	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.45 / $50.21 / $57.74	Facility		$30.45	$50.21	$57.74
United Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $75.00 / $103.50	Professional		$59.54	$75.00	$103.50