Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.75 / $4,862.00 / $16,467.00	Facility		$202.75	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $202.75 / $282.18	Professional		$201.34	$202.75	$282.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $364.55 / $3,179.03	Facility		$364.55	$364.55	$3,179.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.35 / $1,526.35 / $1,526.35	Professional		$1,526.35	$1,526.35	$1,526.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.73 / $202.75 / $404.00	Facility		$193.73	$202.75	$404.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,955.84 / $2,955.84 / $2,955.84	Professional		$2,955.84	$2,955.84	$2,955.84
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 $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.98 / $259.49 / $543.17	Professional		$189.98	$259.49	$543.17