Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.25 / $3,652.50 / $7,305.00	Facility		$1,826.25	$3,652.50	$7,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.25 / $2,922.00 / $2,922.00	Professional		$1,826.25	$2,922.00	$2,922.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,774.25 / $3,969.05 / $3,969.05	Professional		$3,774.25	$3,969.05	$3,969.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,068.10 / $3,068.10 / $3,068.10	Facility		$3,068.10	$3,068.10	$3,068.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,568.92 / $2,568.92 / $2,922.00	Professional		$2,568.92	$2,568.92	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,022.70 / $1,461.00	Professional		$1,022.70	$1,022.70	$1,461.00