Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.89 / $285.89 / $285.89	Facility		$285.89	$285.89	$285.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $285.89 / $285.89	Professional		$285.89	$285.89	$285.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $810.00	Professional		$54.03	$429.00	$810.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $292.94 / $575.88	Professional		$268.77	$292.94	$575.88