Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.68 / $9,062.00 / $20,498.00	Facility		$742.68	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.65 / $742.68 / $929.61	Professional		$678.65	$742.68	$929.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $721.69 / $742.68 / $920.92	Facility		$721.69	$742.68	$920.92
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 $2,666.00 / $16,223.00 / $23,485.00	Facility		$2,666.00	$16,223.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.85 / $862.18 / $1,437.07	Professional		$732.85	$862.18	$1,437.07