Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $21.53 / $87.05	Facility		$21.53	$21.53	$87.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $22.31	Professional		$21.53	$21.53	$22.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Facility		$174.33	$174.33	$174.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $25.84 / $516.66	Facility		$21.53	$25.84	$516.66
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 $78.03 / $124.66 / $158.41	Professional		$78.03	$124.66	$158.41