Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.85 / $4,862.00 / $16,467.00	Facility		$199.85	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.95 / $199.85 / $244.84	Professional		$181.95	$199.85	$244.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.62 / $337.28 / $521.70	Professional		$183.62	$337.28	$521.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.95 / $286.13 / $407.57	Facility		$181.95	$286.13	$407.57
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 $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $278.50 / $486.53	Professional		$168.32	$278.50	$486.53