Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Facility		$117.00	$117.00	$117.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $71.51 / $150.00	Facility		$57.67	$71.51	$150.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
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 $52.43 / $83.89 / $111.85	Professional		$52.43	$83.89	$111.85