Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,842.00 / $5,405.00	Facility		$735.00	$1,842.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $3,002.00 / $10,073.00	Professional		$1,017.00	$3,002.00	$10,073.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00