Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,375.01 / $12,750.00 / $25,500.00	Facility		$6,375.01	$12,750.00	$25,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,375.01 / $10,200.01 / $10,200.01	Professional		$6,375.01	$10,200.01	$10,200.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,175.00 / $13,855.00 / $13,855.00	Professional		$13,175.00	$13,855.00	$13,855.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,967.50 / $8,967.50 / $10,200.00	Professional		$8,967.50	$8,967.50	$10,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $5,100.00	Professional		$3,570.00	$3,570.00	$5,100.00