Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,089.30	Facility		$1,348.96	$1,778.28	$2,089.30
Molina Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,912.51 / $14,454.40	Facility		$5,248.07	$8,912.51	$14,454.40
Optum Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,862.09	Facility		$933.25	$933.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,862.09	Facility		$933.25	$933.25	$1,862.09