Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $4,365.16	Facility		$1,995.26	$4,365.16	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,584.89	Professional		$891.25	$1,023.29	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,691.53	Professional		$1,949.84	$1,949.84	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,513.56 / $2,398.83	Facility		$831.76	$1,513.56	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,380.38	Professional		$1,318.26	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $758.58	Professional		$524.81	$524.81	$758.58