Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $7,799.00 / $21,886.00	Facility		$825.00	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $371.00 / $885.29	Professional		$350.00	$371.00	$885.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $948.75 / $1,749.00	Facility		$825.00	$948.75	$1,749.00
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 $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,765.00 / $5,765.00 / $5,765.00	Professional		$5,765.00	$5,765.00	$5,765.00