Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,454.71	Facility		$1,380.38	$2,041.74	$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 $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $39,810.72 / $39,810.72	Facility		$912.01	$39,810.72	$39,810.72