Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.86 / $9,450.00 / $18,276.00	Facility		$222.86	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $233.30 / $233.30	Professional		$222.86	$233.30	$233.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.43 / $228.88 / $472.46	Facility		$189.43	$228.88	$472.46
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 $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.67 / $320.57 / $638.15	Professional		$223.67	$320.57	$638.15