Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $14,791.08	Facility		$2,089.30	$7,762.47	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,089.30	Professional		$1,148.15	$1,584.89	$2,089.30
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 $1,905.46 / $1,905.46 / $3,235.94	Facility		$1,905.46	$1,905.46	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,801.89	Professional		$2,137.96	$2,818.38	$3,801.89