Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $371.54	Professional		$245.47	$295.12	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $741.31	Professional		$602.56	$602.56	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $295.12 / $371.54	Facility		$50.12	$295.12	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Professional		$162.18	$162.18	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $186.21 / $323.59	Professional		$23.99	$186.21	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $426.58	Facility		$29.51	$42.66	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $316.23	Professional		$19.95	$33.88	$316.23