Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $7,799.00 / $21,886.00	Facility		$303.80	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $303.80 / $318.49	Professional		$303.80	$303.80	$318.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $309.14 / $516.46	Facility		$303.80	$309.14	$516.46
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 $320.45 / $445.09 / $798.80	Professional		$320.45	$445.09	$798.80