Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $2,454.71	Facility		$1,380.38	$2,344.23	$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 $645.65 / $1,122.02 / $2,754.23	Facility		$645.65	$1,122.02	$2,754.23
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,344.23 / $39,810.72	Facility		$645.65	$2,344.23	$39,810.72