Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $993.48 / $1,986.96	Facility		$496.74	$993.48	$1,986.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $794.78 / $794.78	Professional		$496.74	$794.78	$794.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,026.59 / $1,079.58 / $1,079.58	Professional		$1,026.59	$1,079.58	$1,079.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $834.52 / $834.52 / $834.52	Facility		$834.52	$834.52	$834.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $698.75 / $698.75 / $794.78	Professional		$698.75	$698.75	$794.78
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $278.17 / $397.39	Professional		$278.17	$278.17	$397.39