Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $12,302.69 / $12,302.69	Facility		$5,623.41	$12,302.69	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $4,466.84	Professional		$2,398.83	$2,884.03	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $7,762.47	Professional		$5,623.41	$5,623.41	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $6,918.31	Facility		$2,344.23	$4,365.16	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $3,981.07	Professional		$3,801.89	$3,981.07	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,137.96	Professional		$1,513.56	$1,513.56	$2,137.96