Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.29 / $195.29 / $789.56	Facility		$195.29	$195.29	$789.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $552.45 / $929.84	Professional		$195.29	$552.45	$929.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $47.51 / $96.17	Professional		$30.78	$47.51	$96.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.29 / $364.83 / $606.41	Facility		$195.29	$364.83	$606.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,335.22 / $3,335.22 / $3,335.22	Professional		$3,335.22	$3,335.22	$3,335.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $1,105.20 / $1,862.77	Professional		$177.56	$1,105.20	$1,862.77