Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,748.98 / $11,748.98	Facility		$5,370.32	$11,748.98	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $4,365.16	Professional		$2,511.89	$2,884.03	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $7,762.47	Professional		$5,623.41	$5,623.41	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $10,715.19	Facility		$3,235.94	$4,677.35	$10,715.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $5,128.61	Professional		$3,801.89	$3,981.07	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,137.96	Professional		$1,513.56	$1,513.56	$2,137.96