Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.27 / $266.27 / $266.27	Facility		$266.27	$266.27	$266.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $266.27 / $345.28	Professional		$160.94	$266.27	$345.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $64.00	Facility		$38.00	$38.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $256.02 / $345.28	Facility		$33.00	$256.02	$345.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $20.59 / $20.59	Professional		$20.59	$20.59	$20.59
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $21.58 / $28.87	Professional		$15.81	$21.58	$28.87