Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.05 / $4,751.00 / $16,467.00	Facility		$128.05	$4,751.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $170.59 / $271.67	Professional		$128.05	$170.59	$271.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.77 / $640.77 / $640.77	Professional		$640.77	$640.77	$640.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.05 / $134.00 / $262.82	Facility		$128.05	$134.00	$262.82
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 $190.48 / $251.62 / $415.18	Professional		$190.48	$251.62	$415.18