Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $42.29 / $49.78	Facility		$42.29	$42.29	$49.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $50.65 / $61.97	Professional		$42.29	$50.65	$61.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $67.70 / $98.18	Professional		$52.82	$67.70	$98.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $50.75 / $82.64	Facility		$42.29	$50.75	$82.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $71.34 / $87.29	Professional		$52.95	$71.34	$87.29
United Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $67.06 / $99.46	Professional		$54.28	$67.06	$99.46