Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $323.59	Professional		$181.97	$263.03	$323.59
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 $144.54 / $269.15 / $602.56	Facility		$144.54	$269.15	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $239.88	Professional		$52.48	$61.66	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $27,542.29	Facility		$416.87	$2,511.89	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $524.81	Professional		$263.03	$380.19	$524.81