Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.74 / $4,862.00 / $16,467.00	Facility		$272.74	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.74 / $285.64 / $326.45	Professional		$272.74	$285.64	$326.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $1,139.16	Facility		$375.00	$615.00	$1,139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $272.74 / $287.67 / $458.20	Facility		$272.74	$287.67	$458.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $287.67 / $287.67 / $859.44	Professional		$287.67	$287.67	$859.44
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 Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.17 / $360.66 / $697.57	Professional		$257.17	$360.66	$697.57