Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.97 / $7,182.00 / $16,467.00	Facility		$349.97	$7,182.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.97 / $361.73 / $418.76	Professional		$349.97	$361.73	$418.76
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 $1,833.48 / $1,833.48 / $1,833.48	Professional		$1,833.48	$1,833.48	$1,833.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $349.97 / $369.57 / $582.70	Facility		$349.97	$369.57	$582.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $369.57 / $369.57 / $859.44	Professional		$369.57	$369.57	$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 $329.21 / $462.76 / $909.30	Professional		$329.21	$462.76	$909.30