Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,513.56	Professional		$1,230.27	$1,230.27	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,041.74	Facility		$1,230.27	$1,230.27	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $3,388.44	Facility		$1,548.82	$3,388.44	$3,388.44