Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.71 / $5,000.27 / $7,838.38	Facility		$1,261.71	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.90 / $1,261.71 / $1,296.63	Professional		$1,188.90	$1,261.71	$1,296.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,521.26 / $1,521.26 / $1,521.26	Facility		$1,521.26	$1,521.26	$1,521.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,830.57 / $2,213.75 / $3,179.76	Professional		$1,830.57	$2,213.75	$3,179.76