Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $1,716.64	Facility		$30.00	$30.00	$1,716.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,232.32	Professional		$30.00	$30.00	$1,232.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $1,125.00 / $1,897.05	Professional		$675.00	$1,125.00	$1,897.05
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 $675.00 / $675.00 / $1,522.50	Professional		$675.00	$675.00	$1,522.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $62.00 / $82.00	Professional		$44.00	$62.00	$82.00