Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $60.26 / $70.79	Professional		$19.50	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.36 / $53.70	Facility		$0.31	$0.36	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $380.19 / $380.19	Facility		$173.78	$380.19	$380.19