Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,621.81 / $2,041.74	Facility		$275.42	$1,621.81	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $275.42	Professional		$158.49	$218.78	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $407.38 / $446.68	Facility		$87.10	$407.38	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $446.68	Facility		$165.96	$275.42	$446.68
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 $81.28 / $363.08 / $562.34	Facility		$81.28	$363.08	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $416.87	Professional		$194.98	$251.19	$416.87