Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $9,062.00 / $20,498.00	Facility		$392.63	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $411.28 / $411.28	Professional		$392.63	$411.28	$411.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.74 / $399.53 / $832.38	Facility		$333.74	$399.53	$832.38
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 $5,114.00 / $13,190.00 / $19,665.00	Facility		$5,114.00	$13,190.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.68 / $594.32 / $1,045.84	Professional		$388.68	$594.32	$1,045.84