Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $7,762.47	Facility		$2,089.30	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $7,943.28	Professional		$1,348.96	$2,187.76	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,786.30	Facility		$2,137.96	$2,137.96	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,754.23	Professional		$1,096.48	$1,548.82	$2,754.23