Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $118.78	Facility		$29.38	$29.38	$118.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $33.72 / $40.65	Professional		$29.38	$33.72	$40.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.71 / $957.99 / $1,215.45	Facility		$249.71	$957.99	$1,215.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $29.27 / $49.95	Facility		$27.04	$29.27	$49.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $163.87 / $163.87	Professional		$163.87	$163.87	$163.87
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 $40.47 / $230.13 / $230.13	Facility		$40.47	$230.13	$230.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $33.28 / $56.18	Professional		$21.64	$33.28	$56.18