Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.13 / $455.13 / $1,840.09	Facility		$455.13	$455.13	$1,840.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.13 / $455.13 / $476.71	Professional		$455.13	$455.13	$476.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.67 / $477.41 / $564.36	Facility		$375.67	$477.41	$564.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $459.73 / $459.73 / $465.62	Professional		$459.73	$459.73	$465.62
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 $508.04 / $508.04 / $572.74	Facility		$508.04	$508.04	$572.74
United Facility/Professional Professional Modifier Low / Median / High Price $388.57 / $578.01 / $964.26	Professional		$388.57	$578.01	$964.26