Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.08 / $302.08 / $2,204.65	Facility		$302.08	$302.08	$2,204.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.10 / $302.08 / $337.41	Professional		$297.10	$302.08	$337.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.96 / $469.96 / $469.96	Facility		$469.96	$469.96	$469.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.78 / $362.15 / $733.70	Professional		$234.78	$362.15	$733.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.08 / $305.14 / $489.39	Facility		$302.08	$305.14	$489.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,166.33 / $1,166.33 / $1,166.33	Professional		$1,166.33	$1,166.33	$1,166.33
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 Professional Modifier Low / Median / High Price $307.69 / $415.64 / $641.02	Professional		$307.69	$415.64	$641.02