Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,940.00 / $5,880.00 / $11,760.00	Facility		$2,940.00	$5,880.00	$11,760.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $4,704.00 / $4,704.00	Professional		$2,940.00	$4,704.00	$4,704.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,076.00 / $6,389.60 / $6,389.60	Professional		$6,076.00	$6,389.60	$6,389.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,135.60 / $4,135.60 / $4,308.00	Professional		$4,135.60	$4,135.60	$4,308.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $1,646.40 / $2,352.00	Professional		$1,646.40	$1,646.40	$2,352.00