Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $2,130.00 / $2,130.00	Facility		$1,065.00	$2,130.00	$2,130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.50 / $532.50 / $532.50	Professional		$532.50	$532.50	$532.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $958.50 / $1,100.50 / $1,157.30	Professional		$958.50	$1,100.50	$1,157.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $710.00 / $894.60	Facility		$710.00	$710.00	$894.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $749.05 / $852.00 / $986.90	Professional		$749.05	$852.00	$986.90
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $298.20 / $426.00	Professional		$298.20	$298.20	$426.00