Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $375.92	Facility		$92.98	$92.98	$375.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $195.36 / $325.30	Professional		$92.98	$195.36	$325.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $92.84 / $148.78	Professional		$47.61	$92.84	$148.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $140.91 / $232.94	Facility		$92.98	$140.91	$232.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,165.59 / $1,165.59 / $1,165.59	Professional		$1,165.59	$1,165.59	$1,165.59
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 $175.33 / $373.00 / $671.40	Professional		$175.33	$373.00	$671.40