Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $660.69 / $724.44	Facility		$181.97	$660.69	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $208.93	Professional		$138.04	$186.21	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $190.55 / $229.09	Facility		$147.91	$190.55	$229.09
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 Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $371.54	Professional		$177.83	$223.87	$371.54