Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $60.26	Professional		$38.02	$40.74	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $70.79	Professional		$45.71	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $151.36	Facility		$40.74	$69.18	$151.36