Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $300.00	Professional		$87.57	$87.57	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $322.00 / $512.00	Professional		$107.80	$322.00	$512.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.20 / $96.33 / $245.00	Facility		$46.20	$96.33	$245.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $56.25 / $245.00	Professional		$46.20	$56.25	$245.00
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 $283.95 / $367.00 / $367.00	Professional		$283.95	$367.00	$367.00