Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,454.71	Facility		$1,380.38	$1,995.26	$2,454.71
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 $1,023.29 / $1,023.29 / $1,071.52	Facility		$1,023.29	$1,023.29	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $39,810.72	Facility		$1,023.29	$1,071.52	$39,810.72