Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,369.57 / $4,936.60 / $9,478.26	Facility		$2,369.57	$4,936.60	$9,478.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,369.57 / $3,949.28 / $3,949.28	Professional		$2,369.57	$3,949.28	$3,949.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,897.10 / $5,149.85 / $5,149.85	Professional		$4,897.10	$5,149.85	$5,149.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,980.87 / $3,980.87 / $3,980.87	Facility		$3,980.87	$3,980.87	$3,980.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,333.19 / $3,333.19 / $3,791.30	Professional		$3,333.19	$3,333.19	$3,791.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.65 / $2,843.48 / $4,739.13	Facility		$1,895.65	$2,843.48	$4,739.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,326.96 / $1,895.65	Professional		$1,326.96	$1,326.96	$1,895.65