Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $46.95 / $89.26	Professional		$25.85	$46.95	$89.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $72.88 / $108.26	Facility		$27.14	$72.88	$108.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $74.91 / $76.83	Professional		$74.91	$74.91	$76.83
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 $16.14 / $62.85 / $88.00	Professional		$16.14	$62.85	$88.00