Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $11,220.18 / $11,220.18	Facility		$5,128.61	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $4,168.69	Professional		$2,570.40	$3,235.94	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,413.10	Professional		$5,370.32	$5,370.32	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $6,760.83	Facility		$2,238.72	$4,168.69	$6,760.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $3,801.89	Professional		$3,630.78	$3,801.89	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,041.74	Professional		$1,445.44	$1,445.44	$2,041.74