Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $112.20	Professional		$81.28	$109.65	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $75.86	Professional		$30.20	$38.90	$75.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $87.10	Professional		$63.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83