Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $8,709.64	Facility		$2,089.30	$7,762.47	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
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 $11,220.18 / $11,220.18 / $18,620.87	Facility		$11,220.18	$11,220.18	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $21,877.62	Facility		$645.65	$6,606.93	$21,877.62