Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $1,619.00 / $2,060.00	Facility		$275.00	$1,619.00	$2,060.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.00 / $275.00	Professional		$171.00	$275.00	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $535.12 / $573.95	Facility		$92.72	$535.12	$573.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $350.00 / $525.00	Professional		$240.00	$350.00	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.59 / $201.41 / $393.72	Facility		$187.59	$201.41	$393.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $701.30	Professional		$88.83	$88.83	$701.30
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 $108.97 / $108.97 / $108.97	Facility		$108.97	$108.97	$108.97
United Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $133.32 / $207.96	Professional		$96.24	$133.32	$207.96