Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,754.40 / $5,754.40	Facility		$2,630.27	$5,754.40	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,089.30	Professional		$1,230.27	$1,412.54	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,801.89	Professional		$2,691.53	$2,691.53	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $3,388.44	Facility		$1,148.15	$2,089.30	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $1,949.84	Professional		$1,862.09	$1,949.84	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Professional		$741.31	$741.31	$1,047.13