Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $7,799.00 / $21,886.00	Facility		$791.70	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $1,143.44 / $1,177.74	Professional		$371.00	$1,143.44	$1,177.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $947.06 / $1,675.00	Facility		$791.70	$947.06	$1,675.00
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 $923.22 / $1,264.98 / $2,432.89	Professional		$923.22	$1,264.98	$2,432.89