Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,106.85 / $8,555.94 / $16,427.40	Facility		$4,106.85	$8,555.94	$16,427.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,106.85 / $6,844.75 / $6,844.75	Professional		$4,106.85	$6,844.75	$6,844.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,487.49 / $8,925.54 / $8,925.54	Professional		$8,487.49	$8,925.54	$8,925.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,899.51 / $6,899.51 / $6,899.51	Facility		$6,899.51	$6,899.51	$6,899.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,776.97 / $5,776.97 / $6,570.96	Professional		$5,776.97	$5,776.97	$6,570.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.84 / $2,299.84 / $3,285.48	Professional		$2,299.84	$2,299.84	$3,285.48