Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $38.13 / $154.16	Facility		$38.13	$38.13	$154.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $40.22 / $45.34	Professional		$38.13	$40.22	$45.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $37.36 / $64.81	Facility		$36.07	$37.36	$64.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.98 / $175.98 / $175.98	Professional		$175.98	$175.98	$175.98
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 Professional Modifier Low / Median / High Price $30.01 / $44.83 / $74.64	Professional		$30.01	$44.83	$74.64