Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $91.90 / $91.90	Facility		$91.90	$91.90	$91.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $104.51 / $252.05	Professional		$91.90	$104.51	$252.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $342.87	Professional		$342.87	$342.87	$342.87