Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.22 / $54.95	Professional		$10.96	$11.22	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $30.90	Facility		$19.05	$19.05	$30.90
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 Professional Modifier Low / Median / High Price $10.23 / $14.45 / $34.67	Professional		$10.23	$14.45	$34.67