Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,578.48 / $5,156.97 / $10,313.90	Facility		$2,578.48	$5,156.97	$10,313.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,578.48 / $4,125.58 / $4,125.58	Professional		$2,578.48	$4,125.58	$4,125.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,328.87 / $5,603.91 / $5,603.91	Professional		$5,328.87	$5,603.91	$5,603.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,331.85 / $4,331.85 / $4,331.85	Facility		$4,331.85	$4,331.85	$4,331.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,627.07 / $3,627.07 / $4,125.58	Professional		$3,627.07	$3,627.07	$4,125.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.95 / $1,443.95 / $2,062.79	Professional		$1,443.95	$1,443.95	$2,062.79