Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,737.80	Facility		$776.25	$1,288.25	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $812.83	Professional		$537.03	$575.44	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $50.12	Professional		$16.98	$21.38	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $851.14	Facility		$645.65	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $1,584.89	Professional		$295.12	$426.58	$1,584.89