Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,908.84 / $5,817.68 / $11,635.30	Facility		$2,908.84	$5,817.68	$11,635.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,908.84 / $4,654.14 / $4,654.14	Professional		$2,908.84	$4,654.14	$4,654.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,011.60 / $6,321.87 / $6,321.87	Professional		$6,011.60	$6,321.87	$6,321.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,886.85 / $4,886.85 / $4,886.85	Facility		$4,886.85	$4,886.85	$4,886.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,091.76 / $4,091.76 / $4,654.14	Professional		$4,091.76	$4,091.76	$4,654.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.95 / $1,628.95 / $2,327.07	Professional		$1,628.95	$1,628.95	$2,327.07