Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $72.09 / $291.45	Facility		$72.09	$72.09	$291.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $72.09 / $74.72	Professional		$72.09	$72.09	$74.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $83.51 / $147.33	Facility		$11.06	$83.51	$147.33
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 Facility Modifier Low / Median / High Price $306.88 / $306.88 / $306.88	Facility		$306.88	$306.88	$306.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $83.51	Professional		$83.51	$83.51	$83.51