Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.77 / $2,057.00 / $2,595.00	Facility		$277.77	$2,057.00	$2,595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $1,101.34 / $1,217.90	Professional		$277.77	$1,101.34	$1,217.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.10 / $4,688.88 / $4,783.06	Facility		$296.10	$4,688.88	$4,783.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.41 / $517.52 / $1,144.48	Facility		$277.41	$517.52	$1,144.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,029.44 / $1,029.44 / $1,029.44	Professional		$1,029.44	$1,029.44	$1,029.44
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 $828.53 / $1,078.81 / $1,764.46	Professional		$828.53	$1,078.81	$1,764.46