Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $120.75 / $177.62	Professional		$90.56	$120.75	$177.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $171.36 / $212.72	Professional		$133.55	$171.36	$212.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $132.50 / $256.69	Facility		$117.07	$132.50	$256.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $190.94 / $190.94	Professional		$190.94	$190.94	$190.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $107.94 / $127.02	Professional		$101.25	$107.94	$127.02
United Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $176.68 / $254.63	Professional		$143.36	$176.68	$254.63