Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $2,818.38	Facility		$776.25	$1,819.70	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,445.44 / $4,073.80	Facility		$724.44	$1,445.44	$4,073.80