Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $2,742.19 / $5,850.00	Facility		$1,316.25	$2,742.19	$5,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $2,193.75 / $2,193.75	Professional		$1,316.25	$2,193.75	$2,193.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,022.50 / $3,178.50 / $3,178.50	Professional		$3,022.50	$3,178.50	$3,178.50
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 / $2,340.00	Professional		$1,851.53	$1,851.53	$2,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $737.10 / $1,053.00	Professional		$737.10	$737.10	$1,053.00