Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $134.83 / $404.48	Facility		$64.61	$134.83	$404.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $134.83 / $149.66	Professional		$129.00	$134.83	$149.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.96 / $148.32 / $148.32	Facility		$113.96	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $20.00	Professional		$17.00	$17.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $147.13 / $158.62	Professional		$132.43	$147.13	$158.62