Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $46.86	Facility		$11.59	$11.59	$46.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.59 / $30.68	Professional		$11.22	$11.59	$30.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $113.45 / $123.14	Facility		$24.64	$113.45	$123.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $10.58 / $24.41	Facility		$9.02	$10.58	$24.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $137.37 / $137.37	Professional		$137.37	$137.37	$137.37
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 $20.44 / $24.67 / $24.67	Facility		$20.44	$24.67	$24.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $11.11 / $18.75	Professional		$7.23	$11.11	$18.75