Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.46 / $2,224.92 / $2,224.92	Facility		$1,112.46	$2,224.92	$2,224.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.23 / $556.23 / $556.23	Professional		$556.23	$556.23	$556.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,001.21 / $1,149.54 / $1,208.86	Professional		$1,001.21	$1,149.54	$1,208.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $741.64 / $934.47	Facility		$741.64	$741.64	$934.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.43 / $897.38 / $1,030.88	Professional		$782.43	$897.38	$1,030.88
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $311.49 / $444.98	Professional		$311.49	$311.49	$444.98