Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.23 / $7,799.00 / $21,886.00	Facility		$410.23	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.23 / $427.52 / $494.06	Professional		$410.23	$427.52	$494.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $410.23 / $417.45 / $683.03	Facility		$410.23	$417.45	$683.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $414.38 / $414.38 / $414.38	Professional		$414.38	$414.38	$414.38
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 $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 $386.79 / $528.29 / $1,136.81	Professional		$386.79	$528.29	$1,136.81