Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.30 / $2,145.78 / $7,838.38	Facility		$183.30	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $189.58 / $189.58	Professional		$183.30	$189.58	$189.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.68 / $242.23 / $278.57	Facility		$190.68	$242.23	$278.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,060.00 / $17,636.00	Facility		$3,085.00	$5,060.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.91 / $298.92 / $389.16	Professional		$223.91	$298.92	$389.16