Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $12,022.64 / $12,022.64	Facility		$5,495.41	$12,022.64	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $3,715.35	Professional		$2,754.23	$2,951.21	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $7,943.28	Professional		$5,754.40	$5,754.40	$7,943.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $10,964.78	Facility		$3,311.31	$4,786.30	$10,964.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $5,248.07	Professional		$3,890.45	$4,073.80	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,187.76	Professional		$1,548.82	$1,548.82	$2,187.76