Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $63.10	Professional		$40.74	$52.48	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $89.13	Facility		$42.66	$56.23	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $602.56	Facility		$398.11	$457.09	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $93.33	Professional		$47.86	$57.54	$93.33