Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.80 / $9,450.00 / $18,276.00	Facility		$755.80	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.74 / $705.74 / $755.80	Professional		$705.74	$705.74	$755.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $330.51 / $705.74 / $1,580.86	Facility		$330.51	$705.74	$1,580.86
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 $330.97 / $518.87 / $1,087.11	Professional		$330.97	$518.87	$1,087.11