Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $3,171.88 / $6,090.00	Facility		$1,522.50	$3,171.88	$6,090.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.50 / $2,537.50 / $2,537.50	Professional		$1,522.50	$2,537.50	$2,537.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,146.50 / $3,308.90 / $3,308.90	Professional		$3,146.50	$3,308.90	$3,308.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,557.80 / $2,557.80 / $2,557.80	Facility		$2,557.80	$2,557.80	$2,557.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,141.65 / $2,141.65 / $2,436.00	Professional		$2,141.65	$2,141.65	$2,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $852.60 / $1,218.00	Professional		$852.60	$852.60	$1,218.00