Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.95 / $9,450.00 / $18,276.00	Facility		$317.95	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $333.65 / $333.65	Professional		$317.95	$333.65	$333.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.26 / $321.30 / $674.05	Facility		$270.26	$321.30	$674.05
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 $313.99 / $506.69 / $907.59	Professional		$313.99	$506.69	$907.59