Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $104.34 / $7,363.29	Facility		$104.34	$104.34	$7,363.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $114.26 / $114.26	Professional		$104.34	$114.26	$114.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $111.55 / $221.20	Facility		$94.00	$111.55	$221.20
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 $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $246.78 / $394.31	Professional		$159.21	$246.78	$394.31