Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $643.74	Facility		$30.00	$30.00	$643.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $462.12	Professional		$30.00	$30.00	$462.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.34 / $770.34 / $770.34	Professional		$770.34	$770.34	$770.34
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 $225.00 / $225.00 / $507.50	Professional		$225.00	$225.00	$507.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $65.00 / $82.00	Professional		$43.00	$65.00	$82.00