Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.86 / $548.86 / $548.86	Professional		$548.86	$548.86	$548.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $713.52 / $713.52 / $713.52	Facility		$713.52	$713.52	$713.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,416.00 / $4,800.00 / $5,280.00	Professional		$4,416.00	$4,800.00	$5,280.00