Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $7,170.00 / $14,340.00	Facility		$3,585.00	$7,170.00	$14,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,585.00 / $5,736.00 / $5,736.00	Professional		$3,585.00	$5,736.00	$5,736.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,409.00 / $7,791.40 / $7,791.40	Professional		$7,409.00	$7,791.40	$7,791.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $6,022.80	Facility		$4,780.00	$4,780.00	$6,022.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,042.89 / $5,736.00 / $6,644.20	Professional		$5,042.89	$5,736.00	$6,644.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,007.60 / $2,868.00	Professional		$2,007.60	$2,007.60	$2,868.00