Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $294.52 / $294.52	Facility		$294.52	$294.52	$294.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $294.52 / $372.72	Professional		$257.00	$294.52	$372.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.11 / $238.11 / $238.11	Facility		$238.11	$238.11	$238.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $44.14 / $596.25	Professional		$40.57	$44.14	$596.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $294.52 / $372.72	Facility		$51.63	$294.52	$372.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $523.40 / $523.40 / $523.40	Professional		$523.40	$523.40	$523.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $186.49 / $322.93	Professional		$24.21	$186.49	$322.93
United Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $27.73 / $280.77	Professional		$17.61	$27.73	$280.77