Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.55 / $3,410.00 / $3,410.00	Professional		$1,661.55	$3,410.00	$3,410.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,433.87 / $3,433.87 / $3,611.10	Professional		$3,433.87	$3,433.87	$3,611.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,791.40 / $2,791.40 / $2,791.40	Facility		$2,791.40	$2,791.40	$2,791.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,337.25 / $2,337.25 / $2,658.48	Professional		$2,337.25	$2,337.25	$2,658.48
United Facility/Professional Professional Modifier Low / Median / High Price $930.47 / $930.47 / $1,329.24	Professional		$930.47	$930.47	$1,329.24