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 Facility Modifier Low / Median / High Price $375.00 / $560.00 / $615.00	Facility		$375.00	$560.00	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $525.00 / $6,092.50	Professional		$350.00	$525.00	$6,092.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,062.50 / $3,414.64	Facility		$1,875.00	$2,062.50	$3,414.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Professional		$4,500.00	$4,500.00	$4,500.00
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 $454.00 / $6,074.00 / $8,818.00	Facility		$454.00	$6,074.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,980.00 / $7,980.00 / $7,980.00	Professional		$7,980.00	$7,980.00	$7,980.00