Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $7,799.00 / $21,886.00	Facility		$1,875.00	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $371.00	Professional		$350.00	$350.00	$371.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,156.25 / $3,975.00	Facility		$1,875.00	$2,156.25	$3,975.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $6,074.00 / $8,973.00	Facility		$2,284.00	$6,074.00	$8,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,711.00 / $4,711.00 / $4,711.00	Professional		$4,711.00	$4,711.00	$4,711.00