Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $180.27 / $728.83	Facility		$180.27	$180.27	$728.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $180.27 / $188.60	Professional		$180.27	$180.27	$188.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $189.21 / $223.53	Facility		$148.62	$189.21	$223.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $182.09 / $184.43	Professional		$182.09	$182.09	$184.43
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 Professional Modifier Low / Median / High Price $173.93 / $221.50 / $375.18	Professional		$173.93	$221.50	$375.18