Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.15 / $4,862.00 / $16,467.00	Facility		$159.15	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $167.16 / $184.50	Professional		$159.15	$167.16	$184.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.15 / $160.75 / $184.47	Facility		$159.15	$160.75	$184.47
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 $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 $142.49 / $187.93 / $281.89	Professional		$142.49	$187.93	$281.89