Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.42 / $2,794.84 / $5,589.66	Facility		$1,397.42	$2,794.84	$5,589.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.42 / $2,235.87 / $2,235.87	Professional		$1,397.42	$2,235.87	$2,235.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,887.99 / $3,037.05 / $3,037.05	Professional		$2,887.99	$3,037.05	$3,037.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,347.66 / $2,347.66 / $2,347.66	Facility		$2,347.66	$2,347.66	$2,347.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,965.70 / $1,965.70 / $2,235.86	Professional		$1,965.70	$1,965.70	$2,235.86
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $782.55 / $1,117.93	Professional		$782.55	$782.55	$1,117.93