Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $1,995.26	Facility		$416.87	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $93.33	Professional		$52.48	$81.28	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $67.61	Professional		$21.38	$42.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $169.82 / $169.82	Facility		$134.90	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $169.82	Professional		$66.07	$87.10	$169.82