Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.41 / $203.41 / $26,690.73	Facility		$203.41	$203.41	$26,690.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $203.41 / $247.22	Professional		$148.91	$203.41	$247.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.41 / $293.41 / $293.41	Facility		$293.41	$293.41	$293.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.41 / $239.18 / $358.77	Facility		$203.41	$239.18	$358.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.59 / $242.59 / $242.59	Professional		$242.59	$242.59	$242.59
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 Professional Modifier Low / Median / High Price $241.84 / $254.57 / $280.02	Professional		$241.84	$254.57	$280.02