Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $75.56 / $75.56	Facility		$75.56	$75.56	$75.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $77.36 / $86.13	Professional		$72.68	$77.36	$86.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Facility		$94.70	$94.70	$94.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $396.01 / $396.01	Professional		$396.01	$396.01	$396.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $79.45 / $123.70	Facility		$75.56	$79.45	$123.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $79.19 / $79.19	Professional		$79.19	$79.19	$79.19
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 $659.00 / $6,607.00 / $8,818.00	Facility		$659.00	$6,607.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $84.56 / $143.59	Professional		$69.58	$84.56	$143.59