Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,089.30	Facility		$1,148.15	$1,698.24	$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 $912.01 / $912.01 / $1,096.48	Facility		$912.01	$912.01	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,096.48	Facility		$912.01	$912.01	$1,096.48