Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Facility		$141.06	$141.06	$141.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $141.06 / $178.56	Professional		$111.65	$141.06	$178.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $147.10 / $147.10	Facility		$28.95	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $141.06 / $203.94	Facility		$37.00	$141.06	$203.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $188.95	Professional		$33.00	$33.00	$188.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $23.47 / $23.47	Professional		$23.47	$23.47	$23.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $14.40 / $28.61	Professional		$9.82	$14.40	$28.61