Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $106.78 / $124.17	Professional		$80.08	$106.78	$124.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $115.00 / $149.49	Professional		$95.38	$115.00	$149.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $118.30 / $202.50	Facility		$90.76	$118.30	$202.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $129.19 / $129.19	Professional		$129.19	$129.19	$129.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $80.44 / $94.67	Professional		$75.38	$80.44	$94.67
United Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $124.46 / $179.56	Professional		$98.26	$124.46	$179.56