Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $75.36 / $490.73	Professional		$75.36	$75.36	$490.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Facility		$115.90	$115.90	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $192.00	Professional		$98.52	$115.90	$192.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $109.23 / $157.44	Professional		$75.08	$109.23	$157.44
United Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $83.39 / $117.64	Professional		$82.21	$83.39	$117.64