Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.44 / $7,799.00 / $21,886.00	Facility		$232.44	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $232.44	Professional		$212.16	$212.16	$232.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.53 / $14,825.00 / $20,236.00	Facility		$1,043.53	$14,825.00	$20,236.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.69 / $232.44 / $475.24	Facility		$186.69	$232.44	$475.24
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 $893.52 / $901.62 / $965.63	Facility		$893.52	$901.62	$965.63
United Facility/Professional Professional Modifier Low / Median / High Price $180.29 / $269.93 / $414.06	Professional		$180.29	$269.93	$414.06