Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $7,799.00 / $21,886.00	Facility		$1,264.58	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,325.32	Professional		$1,264.58	$1,264.58	$1,325.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,379.00 / $16,706.00 / $27,498.00	Facility		$11,379.00	$16,706.00	$27,498.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,074.89 / $1,365.57 / $2,680.91	Facility		$1,074.89	$1,365.57	$2,680.91
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 $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,349.97 / $2,092.44 / $3,326.20	Professional		$1,349.97	$2,092.44	$3,326.20