Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Facility		$15.11	$15.11	$15.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $15.11 / $49.79	Professional		$14.51	$15.11	$49.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.25 / $17.25	Professional		$17.25	$17.25	$17.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $11.31 / $75.04	Facility		$8.35	$11.31	$75.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $6.85 / $6.85	Professional		$6.85	$6.85	$6.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $19.48 / $23.33	Professional		$12.58	$19.48	$23.33