Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,089.30 / $2,089.30	Facility		$954.99	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Professional		$407.38	$478.63	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,318.26	Professional		$933.25	$933.25	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $1,148.15	Facility		$398.11	$724.44	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $676.08	Professional		$645.65	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $363.08	Professional		$257.04	$257.04	$363.08