Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Facility		$62.14	$62.14	$62.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $61.03 / $62.14	Professional		$61.03	$61.03	$62.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $147.72	Professional		$60.00	$85.00	$147.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $14.63 / $116.74	Facility		$12.99	$14.63	$116.74
United Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $76.15 / $148.49	Professional		$71.81	$76.15	$148.49