Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,762.47 / $7,762.47	Facility		$1,862.09	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $1,862.09	Professional		$1,819.70	$1,862.09	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $389.05 / $549.54	Professional		$60.26	$389.05	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $6,760.83	Facility		$1,862.09	$1,862.09	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45