Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $2,454.71	Facility		$2,238.72	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $891.25	Professional		$501.19	$575.44	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,584.89	Professional		$1,148.15	$1,148.15	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $2,187.76	Facility		$660.69	$954.99	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $812.83 / $1,071.52	Professional		$776.25	$812.83	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $446.68	Professional		$309.03	$309.03	$446.68