Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.03 / $9,062.00 / $20,498.00	Facility		$446.03	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.03 / $467.20 / $467.20	Professional		$446.03	$467.20	$467.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $379.13 / $453.89 / $945.58	Facility		$379.13	$453.89	$945.58
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 $8,224.00 / $21,721.00 / $40,280.54	Facility		$8,224.00	$21,721.00	$40,280.54
United Facility/Professional Professional Modifier Low / Median / High Price $445.64 / $641.57 / $1,236.06	Professional		$445.64	$641.57	$1,236.06