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 $46.77 / $67.61 / $363.08	Professional		$46.77	$67.61	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $114.82 / $1,318.26	Facility		$66.07	$114.82	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,019.95	Facility		$416.87	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $102.33	Professional		$52.48	$69.18	$102.33