Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.13 / $9,062.00 / $20,243.00	Facility		$1,578.13	$9,062.00	$20,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,578.13 / $1,741.83 / $1,741.83	Professional		$1,578.13	$1,741.83	$1,741.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,386.74 / $1,909.62 / $3,345.64	Facility		$1,386.74	$1,909.62	$3,345.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,912.30 / $2,900.02 / $4,736.12	Professional		$1,912.30	$2,900.02	$4,736.12