Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,165.95 / $6,165.95	Facility		$2,818.38	$6,165.95	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,238.72	Professional		$1,318.26	$1,513.56	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,981.07	Professional		$2,884.03	$2,884.03	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $3,630.78	Facility		$1,230.27	$2,238.72	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,041.74	Professional		$1,949.84	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,122.02	Professional		$776.25	$776.25	$1,122.02