Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.01 / $4,862.00 / $16,467.00	Facility		$263.01	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.01 / $275.73 / $325.25	Professional		$263.01	$275.73	$325.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $560.00 / $615.00	Facility		$330.96	$560.00	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $390.05 / $1,234.79	Professional		$325.55	$390.05	$1,234.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.01 / $267.64 / $430.43	Facility		$263.01	$267.64	$430.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $265.67 / $265.67 / $265.67	Professional		$265.67	$265.67	$265.67
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 $248.29 / $327.42 / $635.41	Professional		$248.29	$327.42	$635.41