Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.86 / $2,655.73 / $5,311.44	Facility		$1,327.86	$2,655.73	$5,311.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.86 / $2,124.58 / $2,124.58	Professional		$1,327.86	$2,124.58	$2,124.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,744.24 / $2,885.88 / $2,885.88	Professional		$2,744.24	$2,885.88	$2,885.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,230.81 / $2,230.81 / $2,230.81	Facility		$2,230.81	$2,230.81	$2,230.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,867.86 / $1,867.86 / $2,124.58	Professional		$1,867.86	$1,867.86	$2,124.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,062.29 / $1,593.43 / $2,655.72	Facility		$1,062.29	$1,593.43	$2,655.72
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $743.60 / $1,062.29	Professional		$743.60	$743.60	$1,062.29