Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.70 / $2,226.81 / $2,226.81	Facility		$556.70	$2,226.81	$2,226.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.70 / $556.70 / $556.70	Professional		$556.70	$556.70	$556.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,150.52 / $1,209.90 / $1,209.90	Professional		$1,150.52	$1,209.90	$1,209.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $742.27 / $935.26	Facility		$742.27	$742.27	$935.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.09 / $890.72 / $1,031.76	Professional		$783.09	$890.72	$1,031.76
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $445.36	Professional		$311.75	$311.75	$445.36