Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $30.99 / $30.99	Facility		$30.99	$30.99	$30.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $30.99 / $102.12	Professional		$29.75	$30.99	$102.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $23.09 / $33.27	Facility		$17.32	$23.09	$33.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.06 / $14.06	Professional		$14.06	$14.06	$14.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $39.49 / $46.90	Professional		$29.25	$39.49	$46.90