Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.03	Professional		$3.98	$3.98	$6.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $70.79	Professional		$33.11	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $20.89	Facility		$4.37	$4.37	$20.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91