Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,762.47 / $7,762.47	Facility		$1,000.00	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $467.74	Professional		$269.15	$398.11	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $691.83	Facility		$302.00	$407.38	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,011.87 / $17,782.79	Facility		$562.34	$5,011.87	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $870.96	Professional		$416.87	$630.96	$870.96