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 $315.13 / $1,797.13 / $1,807.57	Facility		$315.13	$1,797.13	$1,807.57
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 / $275.00 / $445.58	Facility		$187.59	$275.00	$445.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $701.30	Professional		$300.42	$300.42	$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 $326.04 / $446.99 / $704.53	Professional		$326.04	$446.99	$704.53