Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $77.16	Facility		$76.09	$76.09	$77.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $96.37 / $148.18	Professional		$76.09	$96.37	$148.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $130.43 / $229.81	Professional		$91.49	$130.43	$229.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $95.11 / $178.61	Facility		$60.00	$95.11	$178.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $104.64 / $124.12	Professional		$67.55	$104.64	$124.12
United Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $108.83 / $164.33	Professional		$85.98	$108.83	$164.33