Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $5.90 / $5.90	Facility		$5.90	$5.90	$5.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.90 / $19.43	Professional		$5.66	$5.90	$19.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $6.74 / $6.74	Professional		$6.74	$6.74	$6.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $4.38 / $93.15	Facility		$3.21	$4.38	$93.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $2.68 / $2.68	Professional		$2.68	$2.68	$2.68
United Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $6.74 / $6.74	Facility		$6.74	$6.74	$6.74
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.60 / $8.94	Professional		$5.58	$7.60	$8.94