Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $4,897.79 / $16,595.87	Facility		$125.89	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $125.89 / $125.89	Professional		$44.67	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $125.89 / $165.96	Facility		$45.71	$125.89	$165.96
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 $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13