Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $7,799.00 / $21,886.00	Facility		$262.68	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $304.64 / $564.04	Professional		$262.68	$304.64	$564.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $267.30 / $556.88	Facility		$262.68	$267.30	$556.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $265.33 / $265.33	Professional		$265.33	$265.33	$265.33
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 $454.00 / $6,074.00 / $8,818.00	Facility		$454.00	$6,074.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.06 / $567.90 / $1,087.92	Professional		$395.06	$567.90	$1,087.92