Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,762.47 / $7,762.47	Facility		$1,122.02	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,862.09	Professional		$891.25	$1,122.02	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,511.89	Facility		$2,454.71	$2,454.71	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,290.87	Professional		$1,230.27	$1,698.24	$2,290.87