Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.65 / $3,322.19 / $6,378.60	Facility		$1,594.65	$3,322.19	$6,378.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.65 / $2,657.75 / $2,657.75	Professional		$1,594.65	$2,657.75	$2,657.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,295.61 / $3,465.71 / $3,465.71	Professional		$3,295.61	$3,465.71	$3,465.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,679.01 / $2,679.01 / $2,679.01	Facility		$2,679.01	$2,679.01	$2,679.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,243.14 / $2,243.14 / $2,551.44	Professional		$2,243.14	$2,243.14	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $1,275.72	Professional		$893.00	$893.00	$1,275.72