Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $4,862.00 / $16,467.00	Facility		$247.97	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.97 / $247.97 / $259.61	Professional		$247.97	$247.97	$259.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $252.33 / $421.55	Facility		$247.97	$252.33	$421.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.52 / $359.30 / $713.23	Professional		$261.52	$359.30	$713.23