Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $1,180.19	Facility		$30.00	$30.00	$1,180.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $847.22	Professional		$30.00	$30.00	$847.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $750.00 / $1,264.70	Professional		$450.00	$750.00	$1,264.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $1,950.00 / $3,000.00	Facility		$30.00	$1,950.00	$3,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $1,015.00	Professional		$450.00	$450.00	$1,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $64.00 / $80.00	Professional		$41.62	$64.00	$80.00