Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $707.95	Professional		$416.87	$524.81	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $851.14 / $1,202.26	Facility		$181.97	$851.14	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,071.52	Professional		$645.65	$645.65	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $575.44 / $977.24	Facility		$154.88	$575.44	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $251.19	Professional		$57.54	$57.54	$251.19
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 $45.71 / $338.84 / $588.84	Facility		$45.71	$338.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $524.81	Professional		$263.03	$354.81	$524.81