Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $13,182.57 / $13,182.57	Facility		$6,025.60	$13,182.57	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $4,786.30	Professional		$2,570.40	$3,162.28	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,317.64	Professional		$6,025.60	$6,025.60	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $7,413.10	Facility		$2,570.40	$4,677.35	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $4,265.80	Professional		$4,073.80	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,344.23	Professional		$1,621.81	$1,621.81	$2,344.23