Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.35 / $6,274.70 / $12,549.40	Facility		$3,137.35	$6,274.70	$12,549.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,137.35 / $5,019.76 / $5,019.76	Professional		$3,137.35	$5,019.76	$5,019.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,483.85 / $6,818.50 / $6,818.50	Professional		$6,483.85	$6,818.50	$6,818.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,270.75 / $5,270.75 / $5,270.75	Facility		$5,270.75	$5,270.75	$5,270.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,413.20 / $4,413.20 / $5,019.76	Professional		$4,413.20	$4,413.20	$5,019.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.91 / $1,756.91 / $2,509.88	Professional		$1,756.91	$1,756.91	$2,509.88