Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.41 / $765.41 / $4,028.65	Facility		$765.41	$765.41	$4,028.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.28 / $765.41 / $765.41	Professional		$721.28	$765.41	$765.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $653.40 / $765.41 / $1,026.77	Facility		$653.40	$765.41	$1,026.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,282.51 / $1,282.51 / $1,282.51	Professional		$1,282.51	$1,282.51	$1,282.51
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 $777.86 / $777.86 / $777.86	Professional		$777.86	$777.86	$777.86