Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Facility		$17.86	$17.86	$17.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Professional		$17.86	$17.86	$17.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $19.67 / $1,500.00	Professional		$19.67	$19.67	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $14.59 / $14.59	Facility		$14.59	$14.59	$14.59
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $21.01	Professional		$21.01	$21.01	$21.01