Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.81 / $1,866.04 / $3,164.60	Professional		$1,793.81	$1,866.04	$3,164.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $899.69	Professional		$60.00	$85.00	$899.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,006.37 / $3,006.37 / $3,006.37	Facility		$3,006.37	$3,006.37	$3,006.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.16 / $537.16 / $553.40	Professional		$537.16	$537.16	$553.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,510.48 / $3,036.00 / $4,360.80	Professional		$2,510.48	$3,036.00	$4,360.80