Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,148.15	Facility		$1,122.02	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $416.87	Professional		$245.47	$281.84	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $758.58	Professional		$537.03	$537.03	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $380.19 / $501.19	Professional		$371.54	$380.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $208.93	Professional		$147.91	$147.91	$208.93