Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.31 / $9,450.00 / $18,276.00	Facility		$1,887.31	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.31 / $1,887.31 / $2,433.00	Professional		$1,887.31	$1,887.31	$2,433.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,887.31 / $1,919.87 / $3,841.90	Facility		$1,887.31	$1,919.87	$3,841.90
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 $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,421.69 / $3,410.44 / $6,120.64	Professional		$2,421.69	$3,410.44	$6,120.64