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 $217.15 / $266.27 / $345.28	Professional		$217.15	$266.27	$345.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $417.07	Facility		$64.00	$64.00	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $102.05	Professional		$61.57	$61.57	$102.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $266.27 / $358.08	Facility		$48.79	$266.27	$358.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $542.10 / $542.10 / $542.10	Professional		$542.10	$542.10	$542.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $28.72 / $28.72	Professional		$28.72	$28.72	$28.72
United Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $26.59 / $46.47	Professional		$19.16	$26.59	$46.47