Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $28.18	Professional		$12.88	$19.95	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $58.88 / $234.42	Professional		$27.54	$58.88	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $39.81	Facility		$16.98	$22.39	$39.81