Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.48 / $4,862.00 / $16,467.00	Facility		$261.48	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.76 / $261.48 / $316.08	Professional		$256.76	$261.48	$316.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $890.00 / $9,737.69	Facility		$379.05	$890.00	$9,737.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.45 / $1,819.45 / $1,819.45	Professional		$1,819.45	$1,819.45	$1,819.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.76 / $264.12 / $471.19	Facility		$256.76	$264.12	$471.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,545.72 / $7,545.72 / $7,545.72	Professional		$7,545.72	$7,545.72	$7,545.72
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 $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $278.99 / $608.37	Professional		$212.78	$278.99	$608.37