Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $27.54	Professional		$16.98	$22.91	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.70 / $43.65	Facility		$19.05	$25.70	$43.65
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 $1,479.11 / $6,760.83 / $9,120.11	Facility		$1,479.11	$6,760.83	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $41.69	Professional		$20.89	$25.70	$41.69