Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $4,862.00 / $16,467.00	Facility		$37.36	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $37.36 / $37.36	Professional		$21.07	$37.36	$37.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $166.30 / $213.70	Facility		$166.30	$166.30	$213.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $45.01 / $100.12	Professional		$30.81	$45.01	$100.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $44.83 / $53.49	Facility		$22.20	$44.83	$53.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $147.13 / $217.09	Professional		$147.13	$147.13	$217.09
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 $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $33.35 / $61.99	Professional		$20.93	$33.35	$61.99