Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.24 / $9,062.00 / $20,498.00	Facility		$165.24	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $199.37 / $283.47	Professional		$165.24	$199.37	$283.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $305.08 / $305.08	Professional		$305.08	$305.08	$305.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.24 / $192.15 / $209.70	Facility		$165.24	$192.15	$209.70
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 $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $228.46 / $338.12	Professional		$197.48	$228.46	$338.12