Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.42 / $749.42 / $3,029.91	Facility		$749.42	$749.42	$3,029.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.21 / $749.42 / $749.42	Professional		$706.21	$749.42	$749.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $639.75 / $749.42 / $1,005.32	Facility		$639.75	$749.42	$1,005.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,255.71 / $1,255.71 / $1,255.71	Professional		$1,255.71	$1,255.71	$1,255.71
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 $761.61 / $761.61 / $761.61	Professional		$761.61	$761.61	$761.61