Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $950.26 / $1,824.51	Facility		$456.13	$950.26	$1,824.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $760.21 / $760.21	Professional		$456.13	$760.21	$760.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $942.66 / $991.32 / $991.32	Professional		$942.66	$991.32	$991.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.29 / $766.29 / $766.29	Facility		$766.29	$766.29	$766.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.62 / $641.62 / $729.80	Professional		$641.62	$641.62	$729.80
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $255.43 / $364.90	Professional		$255.43	$255.43	$364.90