Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $410.00 / $1,657.63	Facility		$410.00	$410.00	$1,657.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $425.00	Professional		$410.00	$410.00	$425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $475.00 / $513.49	Facility		$24.89	$475.00	$513.49
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 $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00