Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $3,162.28	Professional		$1,698.24	$1,905.46	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $7,413.10	Facility		$2,238.72	$3,162.28	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $5,495.41	Professional		$2,630.27	$2,754.23	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,513.56	Professional		$1,047.13	$1,047.13	$1,513.56