Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $104.71	Professional		$38.90	$58.88	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $77.62 / $107.15	Facility		$42.66	$77.62	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $416.87 / $416.87	Facility		$186.21	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $112.20	Professional		$54.95	$74.13	$112.20