Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $5,000.00 / $9,600.00	Facility		$2,400.00	$5,000.00	$9,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $4,000.00 / $4,000.00	Professional		$2,400.00	$4,000.00	$4,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,960.00 / $5,216.00 / $5,216.00	Professional		$4,960.00	$5,216.00	$5,216.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,032.00 / $4,032.00 / $4,032.00	Facility		$4,032.00	$4,032.00	$4,032.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,376.00 / $3,376.00 / $3,840.00	Professional		$3,376.00	$3,376.00	$3,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,344.00 / $1,920.00	Professional		$1,344.00	$1,344.00	$1,920.00