Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,621.81 / $2,041.74	Facility		$275.42	$1,621.81	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $275.42	Professional		$173.78	$218.78	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $389.05 / $588.84	Facility		$93.33	$389.05	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $524.81	Professional		$239.88	$346.74	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $416.87	Facility		$190.55	$275.42	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $436.52 / $660.69	Facility		$109.65	$436.52	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $208.93	Professional		$95.50	$123.03	$208.93