Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.63 / $38.40	Professional		$9.44	$9.63	$38.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,500.00	Professional		$50.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.63 / $38.40	Facility		$9.44	$9.63	$38.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.50	Professional		$10.00	$10.00	$10.50