Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $139.94 / $139.94	Facility		$139.94	$139.94	$139.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $146.66 / $146.66	Professional		$139.94	$146.66	$146.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $147.63 / $296.67	Facility		$118.95	$147.63	$296.67
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 $148.25 / $191.92 / $294.32	Professional		$148.25	$191.92	$294.32