Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.95 / $299.04 / $475.61	Facility		$291.95	$299.04	$475.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $117.08 / $358.18	Professional		$18.32	$117.08	$358.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $859.01 / $859.01 / $859.01	Facility		$859.01	$859.01	$859.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00