Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Facility		$81.84	$81.84	$81.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $81.84 / $85.06	Professional		$74.89	$81.84	$85.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $322.55 / $322.55	Facility		$322.55	$322.55	$322.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $87.63 / $132.60	Facility		$81.84	$87.63	$132.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.16 / $308.16 / $308.16	Professional		$308.16	$308.16	$308.16
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 $77.55 / $104.77 / $171.58	Professional		$77.55	$104.77	$171.58