Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.76 / $67.76 / $273.95	Facility		$67.76	$67.76	$273.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $67.76 / $71.75	Professional		$63.24	$67.76	$71.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $53.63 / $53.63	Facility		$53.63	$53.63	$53.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $65.86 / $107.76	Facility		$65.02	$65.86	$107.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $248.11 / $248.11	Professional		$248.11	$248.11	$248.11
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 $65.73 / $88.88 / $141.94	Professional		$65.73	$88.88	$141.94