Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.13 / $7,799.00 / $21,886.00	Facility		$177.13	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $177.13 / $196.42	Professional		$142.86	$177.13	$196.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.57 / $174.57 / $174.57	Facility		$174.57	$174.57	$174.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.13 / $178.92 / $203.70	Facility		$177.13	$178.92	$203.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $146.51 / $146.51	Professional		$146.51	$146.51	$146.51
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 $222.41 / $317.73 / $603.69	Professional		$222.41	$317.73	$603.69