Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,801.89	Professional		$2,041.74	$2,818.38	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $5,888.44	Facility		$1,621.81	$3,019.95	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,311.31 / $3,311.31	Professional		$3,235.94	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,819.70	Professional		$1,288.25	$1,288.25	$1,819.70