Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,511.38 / $20,892.96	Facility		$3,019.95	$8,511.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,949.84 / $6,309.57	Professional		$707.95	$1,949.84	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $7,244.36	Facility		$3,548.13	$5,128.61	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $37,153.52 / $63,095.73	Facility		$4,677.35	$37,153.52	$63,095.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93