Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $2,511.89	Facility		$1,148.15	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $912.01	Professional		$537.03	$616.60	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,621.81	Professional		$1,174.90	$1,174.90	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $2,238.72	Facility		$691.83	$977.24	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,096.48	Professional		$758.58	$831.76	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $457.09	Professional		$316.23	$316.23	$457.09