Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $23.76 / $96.06	Facility		$23.76	$23.76	$96.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $23.76 / $23.76	Professional		$20.39	$23.76	$23.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Facility		$24.63	$24.63	$24.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $26.14 / $32.08	Facility		$23.76	$26.14	$32.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $30.77 / $30.77	Professional		$30.77	$30.77	$30.77
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 $25.05 / $25.05 / $53.86	Facility		$25.05	$25.05	$53.86