Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.70 / $9,062.00 / $20,498.00	Facility		$1,128.70	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.70 / $1,376.28 / $1,376.28	Professional		$1,128.70	$1,376.28	$1,376.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,704.04 / $2,704.04 / $3,474.74	Facility		$2,704.04	$2,704.04	$3,474.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,128.70 / $1,849.38 / $2,959.01	Facility		$1,128.70	$1,849.38	$2,959.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,203.92 / $2,203.92 / $2,203.92	Professional		$2,203.92	$2,203.92	$2,203.92
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 $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,851.97 / $2,810.99 / $4,586.70	Professional		$1,851.97	$2,810.99	$4,586.70