Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,762.47 / $7,762.47	Facility		$2,041.74	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $10,964.78	Professional		$2,137.96	$7,413.10	$10,964.78
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 $9,549.93 / $9,549.93 / $21,379.62	Facility		$9,549.93	$9,549.93	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $21,379.62 / $190,546.07	Facility		$1,659.59	$21,379.62	$190,546.07
United Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $15,135.61 / $20,892.96	Professional		$11,481.54	$15,135.61	$20,892.96