Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.00 / $3,714.00 / $11,550.00	Facility		$794.00	$3,714.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $1,203.00 / $11,550.00	Professional		$412.00	$1,203.00	$11,550.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,916.00 / $4,970.00	Facility		$366.00	$1,916.00	$4,970.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $159.13 / $159.13	Professional		$159.13	$159.13	$159.13