Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.94 / $9,450.00 / $18,276.00	Facility		$1,494.94	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.94 / $1,494.94 / $1,747.13	Professional		$1,494.94	$1,494.94	$1,747.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,062.61 / $9,062.61 / $11,645.61	Facility		$9,062.61	$9,062.61	$11,645.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,494.94 / $1,683.79 / $3,169.27	Facility		$1,494.94	$1,683.79	$3,169.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9,842.18 / $9,842.18 / $9,842.18	Professional		$9,842.18	$9,842.18	$9,842.18
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 $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.15 / $2,520.52 / $5,113.24	Professional		$1,734.15	$2,520.52	$5,113.24