Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.69 / $4,379.39 / $8,758.79	Facility		$2,189.69	$4,379.39	$8,758.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.69 / $3,503.52 / $3,503.52	Professional		$2,189.69	$3,503.52	$3,503.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,525.38 / $4,758.95 / $4,758.95	Professional		$4,525.38	$4,758.95	$4,758.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,678.70 / $3,678.70 / $3,678.70	Facility		$3,678.70	$3,678.70	$3,678.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,080.18 / $3,080.18 / $3,503.52	Professional		$3,080.18	$3,080.18	$3,503.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $1,751.76	Professional		$1,226.23	$1,226.23	$1,751.76