Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $117.49	Professional		$64.57	$100.00	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $128.82	Facility		$63.10	$102.33	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $162.18	Professional		$83.18	$107.15	$162.18