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 $158.12 / $863.58 / $895.82	Facility		$158.12	$863.58	$895.82
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 $145.72 / $145.72 / $701.30	Professional		$145.72	$145.72	$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 $131.76 / $178.55 / $209.19	Facility		$131.76	$178.55	$209.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.04 / $218.85 / $341.50	Professional		$158.04	$218.85	$341.50