Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $2,754.23	Facility		$1,230.27	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,000.00	Professional		$562.34	$645.65	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $1,513.56	Facility		$524.81	$954.99	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $870.96	Professional		$831.76	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $478.63	Professional		$331.13	$331.13	$478.63