Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.65 / $1,974.26 / $3,790.59	Facility		$947.65	$1,974.26	$3,790.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.65 / $1,579.41 / $1,579.41	Professional		$947.65	$1,579.41	$1,579.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,958.47 / $2,059.55 / $2,059.55	Professional		$1,958.47	$2,059.55	$2,059.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,592.05 / $1,592.05 / $1,592.05	Facility		$1,592.05	$1,592.05	$1,592.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,333.02 / $1,333.02 / $1,516.24	Professional		$1,333.02	$1,333.02	$1,516.24
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $530.67 / $758.12	Professional		$530.67	$530.67	$758.12