Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $194.98	Professional		$114.82	$144.54	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $147.91 / $234.42	Facility		$28.84	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $125.89	Professional		$107.15	$125.89	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $141.25 / $234.42	Facility		$35.48	$141.25	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.84 / $144.54	Professional		$14.45	$28.84	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $30.20	Professional		$23.44	$23.44	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $17.78 / $645.65	Facility		$13.18	$17.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.78 / $75.86	Professional		$9.77	$17.78	$75.86