Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $3,467.37	Professional		$2,041.74	$3,019.95	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $3,715.35	Professional		$575.44	$575.44	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $2,089.30 / $3,235.94	Facility		$10.96	$2,089.30	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,698.24	Professional		$1,445.44	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $3,715.35	Facility		$295.12	$588.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $4,897.79	Professional		$2,691.53	$4,073.80	$4,897.79