Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $31.49 / $31.49	Facility		$31.49	$31.49	$31.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $31.49 / $103.75	Professional		$30.23	$31.49	$103.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $35.96 / $35.96	Professional		$35.96	$35.96	$35.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $23.56 / $46.57	Facility		$17.64	$23.56	$46.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
United Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $40.60 / $47.64	Professional		$29.71	$40.60	$47.64