Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.15 / $2,850.30 / $5,700.60	Facility		$1,425.15	$2,850.30	$5,700.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.15 / $2,280.23 / $2,280.23	Professional		$1,425.15	$2,280.23	$2,280.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,945.31 / $3,097.33 / $3,097.33	Professional		$2,945.31	$3,097.33	$3,097.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,394.25 / $2,394.25 / $2,394.25	Facility		$2,394.25	$2,394.25	$2,394.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,004.71 / $2,004.71 / $2,280.23	Professional		$2,004.71	$2,004.71	$2,280.23
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $798.08 / $1,140.11	Professional		$798.08	$798.08	$1,140.11