Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,320.00 / $2,825.00	Facility		$750.00	$1,320.00	$2,825.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $25.00	Professional		$17.00	$20.00	$25.00
United Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $1,223.00 / $4,093.00	Facility		$690.00	$1,223.00	$4,093.00