Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.64 / $9,450.00 / $18,276.00	Facility		$489.64	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.64 / $513.25 / $513.25	Professional		$489.64	$513.25	$513.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.19 / $502.80 / $1,038.04	Facility		$416.19	$502.80	$1,038.04
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 $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 $491.37 / $793.44 / $1,236.06	Professional		$491.37	$793.44	$1,236.06