Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $155.13 / $175.83	Professional		$116.91	$155.13	$175.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $166.38 / $211.55	Professional		$131.87	$166.38	$211.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.50 / $171.16 / $295.63	Facility		$132.50	$171.16	$295.63
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 $150.76 / $160.89 / $189.35	Professional		$150.76	$160.89	$189.35
United Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $173.41 / $250.18	Professional		$139.22	$173.41	$250.18