Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,175.37 / $3,646.50 / $5,324.61	Professional		$3,175.37	$3,646.50	$5,324.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,656.49	Professional		$32.34	$32.34	$5,656.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,273.22 / $4,071.09 / $5,324.61	Facility		$3,273.22	$4,071.09	$5,324.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,222.89 / $7,619.85 / $9,782.36	Professional		$4,222.89	$7,619.85	$9,782.36
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,726.63 / $5,160.18 / $7,590.53	Professional		$3,726.63	$5,160.18	$7,590.53