Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $2,630.27	Facility		$1,174.90	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $954.99	Professional		$537.03	$616.60	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,621.81	Professional		$1,174.90	$1,174.90	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $912.01 / $1,445.44	Facility		$501.19	$912.01	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $831.76	Professional		$794.33	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $457.09	Professional		$316.23	$316.23	$457.09