Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.19 / $1,231.19 / $1,407.07	Facility		$1,231.19	$1,231.19	$1,407.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,231.19 / $1,407.07	Professional		$1,172.56	$1,231.19	$1,407.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.50 / $1,172.56 / $1,524.33	Professional		$1,108.50	$1,172.56	$1,524.33