Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.41 / $11,018.00 / $18,276.00	Facility		$547.41	$11,018.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.41 / $573.80 / $573.80	Professional		$547.41	$573.80	$573.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $465.31 / $557.05 / $1,160.53	Facility		$465.31	$557.05	$1,160.53
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 $553.63 / $895.13 / $1,479.70	Professional		$553.63	$895.13	$1,479.70