Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $933.25 / $1,288.25	Professional		$223.87	$933.25	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,202.26 / $2,290.87	Facility		$223.87	$1,202.26	$2,290.87
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 / $1,737.80 / $2,454.71	Professional		$1,230.27	$1,737.80	$2,454.71