Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,442.98 / $1,442.98 / $1,813.36	Professional		$1,442.98	$1,442.98	$1,813.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.21 / $1,450.41 / $1,450.41	Facility		$1,269.21	$1,450.41	$1,450.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.84 / $1,232.84 / $3,030.00	Professional		$1,232.84	$1,232.84	$3,030.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.20 / $1,442.98 / $1,813.36	Facility		$630.20	$1,442.98	$1,813.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,647.59 / $1,647.59 / $1,647.59	Professional		$1,647.59	$1,647.59	$1,647.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $527.80 / $1,179.44	Professional		$88.45	$527.80	$1,179.44
United Facility/Professional Professional Modifier Low / Median / High Price $750.55 / $1,100.01 / $1,406.39	Professional		$750.55	$1,100.01	$1,406.39