Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.78 / $1,462.78 / $1,671.74	Facility		$1,462.78	$1,462.78	$1,671.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,462.78 / $1,671.74	Professional		$1,393.12	$1,462.78	$1,671.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.46 / $1,393.12 / $1,811.06	Professional		$1,323.46	$1,393.12	$1,811.06