Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $112.20 / $112.20	Facility		$51.29	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $39.81	Professional		$22.91	$26.92	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $100.00	Facility		$30.20	$43.65	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $48.98	Professional		$35.48	$37.15	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $20.42	Professional		$14.13	$14.13	$20.42