Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $71.12	Professional		$20.00	$20.00	$71.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $73.00 / $384.20	Professional		$14.84	$73.00	$384.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $28.63 / $50.00	Facility		$20.00	$28.63	$50.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $50.00 / $50.00	Professional		$43.80	$50.00	$50.00
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 $52.73 / $230.00 / $230.00	Professional		$52.73	$230.00	$230.00