Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $11,481.54 / $28,183.83	Facility		$4,677.35	$11,481.54	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,801.89 / $28,183.83	Professional		$1,412.54	$3,801.89	$28,183.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54