Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.95 / $9,062.00 / $20,498.00	Facility		$317.95	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $549.50 / $549.50	Professional		$317.95	$549.50	$549.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,486.00 / $2,486.00 / $3,194.56	Facility		$2,486.00	$2,486.00	$3,194.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.95 / $529.45 / $721.05	Facility		$317.95	$529.45	$721.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,809.45 / $2,809.45 / $2,809.45	Professional		$2,809.45	$2,809.45	$2,809.45
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 $5,114.00 / $13,190.00 / $19,665.00	Facility		$5,114.00	$13,190.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.39 / $906.10 / $1,487.71	Professional		$545.39	$906.10	$1,487.71