Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $107.15	Professional		$39.81	$53.70	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $223.87	Professional		$60.26	$85.11	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $52.48 / $85.11	Facility		$12.88	$52.48	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $933.25 / $933.25	Facility		$426.58	$933.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $169.82	Professional		$117.49	$123.03	$169.82