Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.13 / $732.13 / $732.13	Facility		$732.13	$732.13	$732.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $732.13 / $927.12	Professional		$555.95	$732.13	$927.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $1,045.06	Facility		$95.00	$95.00	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $83.43	Professional		$24.99	$24.99	$83.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $829.69 / $1,098.20	Facility		$220.00	$829.69	$1,098.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $2,200.00 / $2,200.00	Professional		$220.00	$2,200.00	$2,200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $105.70 / $105.70	Professional		$105.70	$105.70	$105.70
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $77.98 / $148.80	Professional		$50.71	$77.98	$148.80