Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $933.25	Facility		$549.54	$794.33	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $4,786.30	Professional		$4,073.80	$4,786.30	$4,786.30