Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.55 / $122.91	Professional		$67.61	$93.55	$122.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Facility		$35.15	$35.15	$35.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $51.23 / $177.90	Professional		$33.18	$51.23	$177.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $70.53 / $124.41	Facility		$67.61	$70.53	$124.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $502.06 / $502.06 / $502.06	Professional		$502.06	$502.06	$502.06
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 Facility Modifier Low / Median / High Price $250.00 / $5,871.00 / $8,818.00	Facility		$250.00	$5,871.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $82.64 / $146.87	Professional		$67.45	$82.64	$146.87