Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.76 / $2,145.78 / $7,838.38	Facility		$584.76	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.76 / $604.65 / $604.65	Professional		$584.76	$604.65	$604.65
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 $608.30 / $794.55 / $913.79	Facility		$608.30	$794.55	$913.79
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 $773.14 / $970.92 / $1,240.60	Professional		$773.14	$970.92	$1,240.60