Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.71 / $125.25 / $125.25	Facility		$112.71	$125.25	$125.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $30.98 / $30.98	Professional		$29.64	$30.98	$30.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $28.97 / $54.83	Facility		$28.51	$28.97	$54.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $109.08 / $109.08	Professional		$109.08	$109.08	$109.08
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 $4,007.97 / $4,626.22 / $6,097.23	Facility		$4,007.97	$4,626.22	$6,097.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $40.43 / $85.62	Professional		$30.51	$40.43	$85.62