Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,762.47 / $7,762.47	Facility		$1,202.26	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $85.11	Professional		$44.67	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,202.26	Facility		$1,023.29	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54