Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $3,975.00 / $7,950.00	Facility		$1,987.50	$3,975.00	$7,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $3,180.00 / $3,180.00	Professional		$1,987.50	$3,180.00	$3,180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,107.50 / $4,319.50 / $4,319.50	Professional		$4,107.50	$4,319.50	$4,319.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,339.00 / $3,339.00 / $3,339.00	Facility		$3,339.00	$3,339.00	$3,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,795.75 / $2,795.75 / $3,180.00	Professional		$2,795.75	$2,795.75	$3,180.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,113.00 / $1,590.00	Professional		$1,113.00	$1,113.00	$1,590.00