Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $77.62	Professional		$48.98	$64.57	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $141.25	Facility		$56.23	$56.23	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $5,011.87 / $19,498.45	Facility		$162.18	$5,011.87	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $117.49	Professional		$66.07	$87.10	$117.49