Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $9,062.00 / $20,498.00	Facility		$258.68	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.68 / $307.44 / $490.47	Professional		$258.68	$307.44	$490.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.45 / $528.45 / $528.45	Professional		$528.45	$528.45	$528.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $263.13 / $333.70	Facility		$258.68	$263.13	$333.70
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 / $1,147.00 / $3,585.00	Facility		$225.00	$1,147.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.55 / $394.77 / $591.50	Professional		$341.55	$394.77	$591.50