Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.85 / $1,048.85 / $1,048.85	Facility		$1,048.85	$1,048.85	$1,048.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $262.22 / $262.22	Professional		$262.22	$262.22	$262.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $541.91 / $569.88 / $569.88	Professional		$541.91	$569.88	$569.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $349.62 / $440.52	Facility		$349.62	$349.62	$440.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.85 / $419.54 / $485.97	Professional		$368.85	$419.54	$485.97
United Facility/Professional Facility Modifier Low / Median / High Price $314.66 / $314.66 / $314.66	Facility		$314.66	$314.66	$314.66
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $146.84 / $209.77	Professional		$146.84	$146.84	$209.77