Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.58 / $9,450.00 / $18,276.00	Facility		$377.58	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.58 / $395.83 / $395.83	Professional		$377.58	$395.83	$395.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $303.58 / $377.58 / $800.47	Facility		$303.58	$377.58	$800.47
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 $3,340.00 / $21,721.00 / $33,299.00	Facility		$3,340.00	$21,721.00	$33,299.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $491.25 / $878.71	Professional		$304.00	$491.25	$878.71