Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $4,862.00 / $16,467.00	Facility		$58.40	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $103.72 / $385.47	Professional		$58.40	$103.72	$385.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $560.00 / $615.00	Facility		$60.26	$560.00	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.71 / $216.71 / $216.71	Professional		$216.71	$216.71	$216.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $90.37 / $333.64	Facility		$58.40	$90.37	$333.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $90.37 / $90.37	Professional		$90.37	$90.37	$90.37
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 Facility Modifier Low / Median / High Price $100.00 / $1,138.00 / $3,585.00	Facility		$100.00	$1,138.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $379.15 / $726.41	Professional		$120.91	$379.15	$726.41