Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $213.80	Facility		$50.12	$50.12	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $50.12 / $54.95	Professional		$22.91	$50.12	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.16 / $5.01	Facility		$2.69	$3.16	$5.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.09 / $2.63	Professional		$1.70	$2.09	$2.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $117.49 / $117.49	Facility		$50.12	$117.49	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $165.96	Facility		$125.89	$125.89	$165.96