Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.13 / $991.94 / $1,904.52	Facility		$476.13	$991.94	$1,904.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.13 / $793.55 / $793.55	Professional		$476.13	$793.55	$793.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $984.00 / $1,034.79 / $1,034.79	Professional		$984.00	$1,034.79	$1,034.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.90 / $799.90 / $799.90	Facility		$799.90	$799.90	$799.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $669.76 / $669.76 / $761.81	Professional		$669.76	$669.76	$761.81
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $266.63 / $380.90	Professional		$266.63	$266.63	$380.90