Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $18.20	Professional		$16.98	$16.98	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $75.86	Professional		$22.39	$30.20	$75.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $23.44	Professional		$15.49	$21.88	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88