Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.09 / $9,855.00 / $18,276.00	Facility		$391.09	$9,855.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.09 / $578.76 / $578.76	Professional		$391.09	$578.76	$578.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,013.67 / $24,013.67 / $30,858.01	Facility		$24,013.67	$24,013.67	$30,858.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $391.09 / $466.38 / $839.88	Facility		$391.09	$466.38	$839.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24,267.76 / $24,267.76 / $24,267.76	Professional		$24,267.76	$24,267.76	$24,267.76
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 $4,200.00 / $31,007.00 / $77,327.00	Facility		$4,200.00	$31,007.00	$77,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.11 / $1,079.70 / $1,958.67	Professional		$717.11	$1,079.70	$1,958.67