Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $389.05	Professional		$223.87	$275.42	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $64.57	Facility		$42.66	$42.66	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $707.95	Professional		$562.34	$588.84	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $269.15 / $446.68	Facility		$69.18	$269.15	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $33.11	Professional		$20.42	$20.42	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.11 / $1,202.26	Facility		$23.44	$33.11	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $46.77	Professional		$18.20	$26.30	$46.77