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 $213.01 / $1,151.72 / $1,216.36	Facility		$213.01	$1,151.72	$1,216.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.59 / $225.11 / $429.21	Facility		$187.59	$225.11	$429.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $701.30	Professional		$187.72	$187.72	$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 Professional Modifier Low / Median / High Price $203.64 / $270.24 / $440.03	Professional		$203.64	$270.24	$440.03