Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $66.07	Professional		$38.90	$53.70	$66.07
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 $38.90 / $56.23 / $89.13	Facility		$38.90	$56.23	$89.13
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 $63.10 / $83.18 / $128.82	Professional		$63.10	$83.18	$128.82