Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.00 / $1,148.00 / $4,641.35	Facility		$1,148.00	$1,148.00	$4,641.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.00 / $1,148.00 / $1,190.00	Professional		$1,148.00	$1,148.00	$1,190.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.63 / $1,330.00 / $1,377.60	Facility		$39.63	$1,330.00	$1,377.60
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 $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00