Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $64.37 / $64.37	Facility		$64.37	$64.37	$64.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $63.85 / $64.37	Professional		$63.85	$63.85	$64.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $33.06 / $33.06	Facility		$33.06	$33.06	$33.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $64.37 / $136.46	Facility		$50.03	$64.37	$136.46
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 $49.69 / $74.40 / $138.41	Professional		$49.69	$74.40	$138.41