Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.55 / $1,713.09 / $3,426.18	Facility		$856.55	$1,713.09	$3,426.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.55 / $1,370.47 / $1,370.47	Professional		$856.55	$1,370.47	$1,370.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,770.19 / $1,861.56 / $1,861.56	Professional		$1,770.19	$1,861.56	$1,861.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,439.00 / $1,439.00 / $1,439.00	Facility		$1,439.00	$1,439.00	$1,439.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,204.86 / $1,204.86 / $1,370.47	Professional		$1,204.86	$1,204.86	$1,370.47
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $479.67 / $685.24	Professional		$479.67	$479.67	$685.24