Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $33.88	Professional		$19.95	$28.84	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $46.77	Facility		$17.78	$22.39	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $16.22	Professional		$14.13	$16.22	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $47.86	Professional		$26.30	$39.81	$47.86