Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.54 / $7,838.38 / $7,838.38	Facility		$424.54	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.48 / $426.95 / $459.94	Professional		$407.48	$426.95	$459.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.07 / $438.15 / $553.75	Facility		$311.07	$438.15	$553.75
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.69 / $677.65 / $954.11	Professional		$471.69	$677.65	$954.11