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 $131.83 / $416.87 / $630.96	Facility		$131.83	$416.87	$630.96
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 $194.98 / $275.42 / $416.87	Facility		$194.98	$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 $177.83 / $741.31 / $1,122.02	Facility		$177.83	$741.31	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $338.84	Professional		$158.49	$199.53	$338.84