Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $3,420.00 / $11,453.00	Facility		$809.00	$3,420.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $4,310.00 / $12,767.00	Professional		$975.00	$4,310.00	$12,767.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $486.49 / $656.76	Professional		$486.49	$486.49	$656.76