Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,762.47 / $8,709.64	Facility		$1,548.82	$7,762.47	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $616.60	Professional		$218.78	$257.04	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $489.78	Facility		$218.78	$218.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $9,120.11 / $16,218.10	Facility		$794.33	$9,120.11	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $478.63	Professional		$269.15	$363.08	$478.63