Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $57.91 / $68.13	Facility		$51.10	$57.91	$68.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $68.37 / $82.60	Professional		$55.52	$68.37	$82.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $75.76 / $123.48	Professional		$53.60	$75.76	$123.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $68.13 / $197.82	Facility		$57.91	$68.13	$197.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $62.04 / $62.04	Professional		$62.04	$62.04	$62.04
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 $55.61 / $71.13 / $120.00	Professional		$55.61	$71.13	$120.00