Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.50 / $1,373.50 / $5,553.06	Facility		$1,373.50	$1,373.50	$5,553.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.50 / $1,373.50 / $1,423.75	Professional		$1,373.50	$1,373.50	$1,423.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,373.50 / $1,591.25 / $2,778.96	Facility		$1,373.50	$1,591.25	$2,778.96
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 $1,675.00 / $1,675.00 / $1,675.00	Professional		$1,675.00	$1,675.00	$1,675.00