Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.62 / $4,862.00 / $16,467.00	Facility		$522.62	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.62 / $547.82 / $605.95	Professional		$522.62	$547.82	$605.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $522.62 / $527.90 / $601.01	Facility		$522.62	$527.90	$601.01
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 $454.22 / $596.98 / $886.56	Professional		$454.22	$596.98	$886.56