Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $21.59 / $21.59	Facility		$21.59	$21.59	$21.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $21.59 / $71.14	Professional		$20.73	$21.59	$71.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $24.66 / $24.66	Professional		$24.66	$24.66	$24.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $16.02 / $24.40	Facility		$12.20	$16.02	$24.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $9.78	Professional		$9.78	$9.78	$9.78
United Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $27.83 / $32.69	Professional		$20.39	$27.83	$32.69