Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $8,317.64	Facility		$2,089.30	$7,762.47	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,754.23	Professional		$1,513.56	$2,187.76	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,548.13	Facility		$1,949.84	$2,570.40	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,760.83 / $34,673.69	Facility		$3,090.30	$6,760.83	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $4,786.30	Professional		$2,398.83	$3,388.44	$4,786.30