Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,644.00 / $5,644.00 / $5,644.00	Professional		$5,644.00	$5,644.00	$5,644.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,672.50 / $7,672.50 / $8,068.50	Professional		$7,672.50	$7,672.50	$8,068.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,166.70 / $3,166.70 / $3,166.70	Facility		$3,166.70	$3,166.70	$3,166.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,890.24 / $3,179.26 / $6,880.50	Professional		$2,890.24	$3,179.26	$6,880.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,055.57 / $2,079.00	Professional		$1,055.57	$1,055.57	$2,079.00