Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $338.84	Professional		$89.13	$109.65	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $288.40	Facility		$85.11	$104.71	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $213.80	Professional		$81.28	$123.03	$213.80