Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.54 / $9,062.00 / $20,498.00	Facility		$206.54	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $216.51 / $216.51	Professional		$206.54	$216.51	$216.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.56 / $210.17 / $437.86	Facility		$175.56	$210.17	$437.86
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 $207.37 / $315.01 / $567.10	Professional		$207.37	$315.01	$567.10