Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.51 / $9,062.00 / $20,498.00	Facility		$335.51	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $351.71 / $351.71	Professional		$335.51	$351.71	$351.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $285.18 / $341.41 / $711.28	Facility		$285.18	$341.41	$711.28
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 $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.70 / $514.46 / $916.81	Professional		$338.70	$514.46	$916.81