Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.48 / $7,182.00 / $16,467.00	Facility		$1,314.48	$7,182.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.48 / $1,314.48 / $1,377.62	Professional		$1,314.48	$1,314.48	$1,377.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,314.48 / $1,337.61 / $2,132.90	Facility		$1,314.48	$1,337.61	$2,132.90
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 $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.06 / $1,930.62 / $3,828.11	Professional		$1,344.06	$1,930.62	$3,828.11