Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,762.47 / $7,762.47	Facility		$1,778.28	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $3,019.95	Professional		$1,148.15	$1,778.28	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $1,905.46	Professional		$60.26	$85.11	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,019.95 / $4,073.80	Facility		$1,148.15	$3,019.95	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Professional		$1,548.82	$1,548.82	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $14,125.38	Facility		$645.65	$6,606.93	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $4,365.16	Professional		$2,238.72	$2,951.21	$4,365.16