Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.28 / $1,202.64 / $1,838.24	Professional		$1,141.28	$1,202.64	$1,838.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.55 / $1,515.98 / $1,838.24	Facility		$630.55	$1,515.98	$1,838.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $31,244.66	Facility		$1,035.00	$15,131.00	$31,244.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,464.97 / $1,860.56 / $2,826.61	Professional		$1,464.97	$1,860.56	$2,826.61