Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $57.19 / $67.29	Facility		$50.47	$57.19	$67.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $79.48 / $111.10	Professional		$57.19	$79.48	$111.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $93.49 / $218.30	Professional		$73.02	$93.49	$218.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $78.51 / $103.70	Facility		$57.20	$78.51	$103.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $112.41 / $123.48	Professional		$96.53	$112.41	$123.48
United Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $91.40 / $170.00	Professional		$69.45	$91.40	$170.00