Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,205.54 / $3,205.54 / $3,205.54	Facility		$3,205.54	$3,205.54	$3,205.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,077.32 / $3,205.54 / $10,562.30	Professional		$3,077.32	$3,205.54	$10,562.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $579.51 / $579.51 / $3,693.47	Professional		$579.51	$579.51	$3,693.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $2,269.36 / $3,397.87	Facility		$11.09	$2,269.36	$3,397.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,454.09 / $1,454.09 / $1,454.09	Professional		$1,454.09	$1,454.09	$1,454.09
United Facility/Professional Professional Modifier Low / Median / High Price $3,026.87 / $4,132.79 / $4,853.41	Professional		$3,026.87	$4,132.79	$4,853.41