Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $70.79	Professional		$19.95	$19.95	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $190.55	Professional		$14.79	$15.14	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.39 / $85.11	Facility		$19.95	$22.39	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $234.42	Professional		$52.48	$57.54	$234.42