Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $84.29 / $99.88	Professional		$71.17	$84.29	$99.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.38 / $134.49	Professional		$64.31	$98.38	$134.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $84.29 / $147.05	Facility		$70.62	$84.29	$147.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $145.56 / $145.56	Professional		$145.56	$145.56	$145.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $103.63 / $166.71	Professional		$80.12	$103.63	$166.71