Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $2,632.50 / $5,265.00	Facility		$1,316.25	$2,632.50	$5,265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $2,106.00 / $2,106.00	Professional		$1,316.25	$2,106.00	$2,106.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,720.25 / $2,860.65 / $2,860.65	Professional		$2,720.25	$2,860.65	$2,860.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,211.30 / $2,211.30 / $2,211.30	Facility		$2,211.30	$2,211.30	$2,211.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,851.53 / $1,851.53 / $2,106.00	Professional		$1,851.53	$1,851.53	$2,106.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,053.00 / $1,579.50 / $2,632.50	Facility		$1,053.00	$1,579.50	$2,632.50
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $737.10 / $1,053.00	Professional		$737.10	$737.10	$1,053.00