Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.00 / $5,000.27 / $7,838.38	Facility		$1,378.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.37 / $1,436.62 / $1,494.47	Professional		$1,350.37	$1,436.62	$1,494.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $2,035.10	Professional		$60.00	$85.00	$2,035.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,764.57 / $1,764.57 / $1,764.57	Facility		$1,764.57	$1,764.57	$1,764.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,851.75 / $2,263.25 / $3,250.86	Professional		$1,851.75	$2,263.25	$3,250.86