Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.79 / $7,799.00 / $21,886.00	Facility		$1,631.79	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.79 / $1,710.29 / $1,710.29	Professional		$1,631.79	$1,710.29	$1,710.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,349.00 / $1,631.79 / $3,459.39	Facility		$1,349.00	$1,631.79	$3,459.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.60 / $2,264.73 / $3,649.97	Professional		$1,336.60	$2,264.73	$3,649.97