Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $3,235.94	Facility		$912.01	$1,548.82	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $912.01	Professional		$537.03	$537.03	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $954.99	Facility		$630.96	$630.96	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85