Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,388.44 / $6,025.60	Facility		$812.83	$3,388.44	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $60.26	Professional		$30.20	$44.67	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,128.61 / $13,803.84	Facility		$2,290.87	$5,128.61	$13,803.84