Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $9,120.11 / $16,595.87	Facility		$177.83	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $194.98	Professional		$141.25	$169.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $186.21 / $251.19	Facility		$151.36	$186.21	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $602.56	Professional		$239.88	$316.23	$602.56