Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $67.81 / $86.37	Professional		$56.99	$67.81	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $74.37 / $120.57	Professional		$50.00	$74.37	$120.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $72.11 / $111.04	Facility		$58.39	$72.11	$111.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $80.86 / $126.15	Professional		$64.69	$80.86	$126.15
United Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $71.04 / $109.02	Professional		$55.04	$71.04	$109.02