Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.10 / $640.32 / $810.32	Professional		$554.10	$640.32	$810.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $809.37	Facility		$251.69	$251.69	$809.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $251.69 / $251.69	Professional		$88.13	$251.69	$251.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $376.02 / $640.32 / $810.32	Facility		$376.02	$640.32	$810.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $983.07 / $983.07 / $983.07	Professional		$983.07	$983.07	$983.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $50.67 / $67.56	Professional		$50.67	$50.67	$67.56
United Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $388.69 / $795.26	Professional		$259.12	$388.69	$795.26