Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $164.25	Professional		$40.79	$40.79	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $1,050.00 / $1,100.00	Professional		$145.05	$1,050.00	$1,100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $50.00	Facility		$20.00	$20.00	$50.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92