Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.83 / $2,101.67 / $2,101.67	Facility		$1,050.83	$2,101.67	$2,101.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.41 / $525.41 / $525.41	Professional		$525.41	$525.41	$525.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $945.75 / $1,085.86 / $1,141.91	Professional		$945.75	$1,085.86	$1,141.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.56 / $700.56 / $882.71	Facility		$700.56	$700.56	$882.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $739.09 / $840.67 / $973.78	Professional		$739.09	$840.67	$973.78
United Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $294.24 / $420.34	Professional		$294.24	$294.24	$420.34