Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Professional		$57.00	$57.00	$57.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Facility		$12.40	$12.40	$12.40
United Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $15.75 / $18.89	Professional		$15.75	$15.75	$18.89