Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $15,848.93 / $15,848.93	Facility		$7,244.36	$15,848.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $5,754.40	Professional		$3,311.31	$3,890.45	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $10,232.93	Professional		$7,413.10	$7,413.10	$10,232.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $14,125.38	Facility		$4,265.80	$6,165.95	$14,125.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $6,918.31	Professional		$5,011.87	$5,248.07	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,884.03	Professional		$1,995.26	$1,995.26	$2,884.03