Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.60 / $2,095.00 / $7,838.38	Facility		$900.60	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.60 / $931.40 / $7,943.92	Professional		$900.60	$931.40	$7,943.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,760.77	Professional		$50.00	$85.00	$1,760.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.36 / $1,238.84 / $6,534.18	Facility		$492.36	$1,238.84	$6,534.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.56 / $1,413.22 / $2,189.10	Professional		$997.56	$1,413.22	$2,189.10