Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.11 / $216.83 / $216.83	Facility		$195.11	$216.83	$216.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $53.63 / $56.29	Professional		$53.63	$53.63	$56.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $54.17 / $66.50	Facility		$53.63	$54.17	$66.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Professional		$207.15	$207.15	$207.15
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 $54.48 / $71.20 / $108.95	Professional		$54.48	$71.20	$108.95