Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,964.78 / $10,964.78	Facility		$5,011.87	$10,964.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Professional		$2,137.96	$2,511.89	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,918.31	Professional		$5,011.87	$5,011.87	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $6,025.60	Facility		$2,089.30	$3,801.89	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,548.13 / $3,548.13	Professional		$3,388.44	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,905.46	Professional		$1,348.96	$1,348.96	$1,905.46