Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $24.43 / $24.43	Facility		$24.43	$24.43	$24.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $24.35 / $37.11	Professional		$15.42	$24.35	$37.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $60.00 / $85.00	Professional		$31.15	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $20.37 / $25.67	Facility		$14.68	$20.37	$25.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $29.77 / $32.10	Professional		$21.99	$29.77	$32.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,089.00 / $17,636.00	Facility		$3,085.00	$5,089.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $35.89 / $48.56	Professional		$27.39	$35.89	$48.56