Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $59.51 / $164.63	Facility		$59.51	$59.51	$164.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $59.51 / $69.97	Professional		$56.95	$59.51	$69.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $60.19 / $107.24	Facility		$59.51	$60.19	$107.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.50 / $221.50 / $221.50	Professional		$221.50	$221.50	$221.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $73.51 / $122.10	Professional		$55.84	$73.51	$122.10