Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.87 / $1,191.74 / $2,383.46	Facility		$595.87	$1,191.74	$2,383.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.87 / $953.39 / $953.39	Professional		$595.87	$953.39	$953.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,231.46 / $1,295.02 / $1,295.02	Professional		$1,231.46	$1,295.02	$1,295.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,001.06 / $1,001.06 / $1,001.06	Facility		$1,001.06	$1,001.06	$1,001.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.19 / $838.19 / $953.39	Professional		$838.19	$838.19	$953.39
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $333.69 / $476.69	Professional		$333.69	$333.69	$476.69