Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $107.29	Facility		$30.00	$30.00	$107.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $77.02	Professional		$30.00	$30.00	$77.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $128.38 / $128.38	Professional		$128.38	$128.38	$128.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $1,920.00 / $3,000.00	Facility		$38.29	$1,920.00	$3,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $16.48 / $35.00	Professional		$9.16	$16.48	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $64.00 / $80.00	Professional		$43.00	$64.00	$80.00