Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $12.55 / $12.55	Facility		$12.55	$12.55	$12.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.55 / $41.36	Professional		$12.05	$12.55	$41.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $14.33 / $14.33	Professional		$14.33	$14.33	$14.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $9.42 / $13.30	Facility		$7.06	$9.42	$13.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $5.69	Professional		$5.69	$5.69	$5.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $16.18 / $18.98	Professional		$11.84	$16.18	$18.98