Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $9,450.00 / $18,276.00	Facility		$452.00	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $473.77 / $473.77	Professional		$452.00	$473.77	$473.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $384.20 / $491.16 / $958.24	Facility		$384.20	$491.16	$958.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $31,007.00 / $77,327.00	Facility		$4,200.00	$31,007.00	$77,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.98 / $662.37 / $1,382.76	Professional		$479.98	$662.37	$1,382.76