Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,120.11 / $16,595.87	Facility		$1,621.81	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,819.70	Professional		$1,230.27	$1,621.81	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $3,467.37	Facility		$1,548.82	$1,949.84	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $9,120.11	Facility		$2,454.71	$6,760.83	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $3,630.78	Professional		$1,348.96	$2,187.76	$3,630.78