Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.25 / $302.39 / $985.73	Facility		$124.25	$302.39	$985.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $98.23 / $121.54	Professional		$57.03	$98.23	$121.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.35 / $419.28 / $487.23	Facility		$300.35	$419.28	$487.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $97.31 / $206.55	Professional		$65.04	$97.31	$206.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.57 / $103.45 / $179.73	Facility		$88.57	$103.45	$179.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $59.53 / $96.84	Professional		$25.51	$59.53	$96.84
United Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $98.52 / $188.15	Professional		$56.64	$98.52	$188.15