Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $3,715.35	Facility		$64.57	$75.86	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,819.70	Facility		$1,445.44	$1,445.44	$1,819.70