Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.95 / $373.95 / $373.95	Facility		$373.95	$373.95	$373.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.95 / $373.95 / $373.95	Professional		$373.95	$373.95	$373.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $356.59	Facility		$356.59	$356.59	$356.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $356.59 / $862.50	Professional		$58.89	$356.59	$862.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $44.74 / $70.78	Professional		$25.37	$44.74	$70.78
United Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $367.90 / $581.69	Professional		$367.90	$367.90	$581.69