Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $94.73 / $111.45	Facility		$83.58	$94.73	$111.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $119.76 / $159.72	Professional		$89.01	$119.76	$159.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $134.01 / $342.88	Professional		$100.20	$134.01	$342.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $117.05 / $150.46	Facility		$94.73	$117.05	$150.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $111.28 / $111.28	Professional		$111.28	$111.28	$111.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $150.48 / $164.19	Professional		$129.53	$150.48	$164.19
United Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $129.52 / $235.00	Professional		$99.57	$129.52	$235.00