Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,226.04	Facility		$1,000.00	$7,838.38	$8,226.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,111.67 / $2,183.71 / $5,083.20	Professional		$2,111.67	$2,183.71	$5,083.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,144.56 / $2,122.02 / $3,337.42	Facility		$1,144.56	$2,122.02	$3,337.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,284.64 / $4,284.64 / $4,284.64	Professional		$4,284.64	$4,284.64	$4,284.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.19 / $2,339.28 / $4,093.75	Professional		$1,522.19	$2,339.28	$4,093.75