Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $7,799.00 / $21,886.00	Facility		$1,652.17	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $1,652.17	Professional		$1,652.17	$1,652.17	$1,652.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $535.00 / $570.00	Facility		$100.00	$535.00	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $525.00 / $885.29	Professional		$350.00	$525.00	$885.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,755.43 / $2,957.38	Facility		$1,652.17	$1,755.43	$2,957.38
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 $454.00 / $6,074.00 / $8,818.00	Facility		$454.00	$6,074.00	$8,818.00