Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.10 / $7,799.00 / $21,886.00	Facility		$300.10	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.10 / $300.10 / $314.87	Professional		$300.10	$300.10	$314.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.10 / $305.38 / $510.17	Facility		$300.10	$305.38	$510.17
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 Professional Modifier Low / Median / High Price $297.18 / $439.53 / $831.61	Professional		$297.18	$439.53	$831.61