Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,897.79 / $16,595.87	Facility		$512.86	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $302.00	Professional		$128.82	$181.97	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $302.00	Facility		$128.82	$190.55	$302.00
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 $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $416.87	Professional		$186.21	$245.47	$416.87