Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $1,186.01 / $2,277.15	Facility		$569.29	$1,186.01	$2,277.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $948.81 / $948.81	Professional		$569.29	$948.81	$948.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,176.53 / $1,237.25 / $1,237.25	Professional		$1,176.53	$1,237.25	$1,237.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.40 / $956.40 / $956.40	Facility		$956.40	$956.40	$956.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.80 / $800.80 / $910.86	Professional		$800.80	$800.80	$910.86
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $455.43	Professional		$318.80	$318.80	$455.43