Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.11 / $169.49 / $217.67	Professional		$127.11	$169.49	$217.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.74 / $206.31 / $261.95	Professional		$161.74	$206.31	$261.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $187.04 / $321.44	Facility		$144.07	$187.04	$321.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.39 / $236.39 / $236.39	Professional		$236.39	$236.39	$236.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $160.89 / $189.35	Professional		$150.76	$160.89	$189.35
United Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $216.11 / $310.00	Professional		$172.43	$216.11	$310.00