Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,054.50 / $10,530.20 / $20,218.00	Facility		$5,054.50	$10,530.20	$20,218.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,054.50 / $8,424.16 / $8,424.16	Professional		$5,054.50	$8,424.16	$8,424.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,445.95 / $10,985.11 / $10,985.11	Professional		$10,445.95	$10,985.11	$10,985.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,491.56 / $8,491.56 / $8,491.56	Facility		$8,491.56	$8,491.56	$8,491.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,109.99 / $7,109.99 / $8,087.20	Professional		$7,109.99	$7,109.99	$8,087.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,830.52 / $2,830.52 / $4,043.60	Professional		$2,830.52	$2,830.52	$4,043.60