Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $463.97	Professional		$57.66	$57.66	$463.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $193.50	Professional		$94.78	$111.50	$193.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $98.97 / $156.91	Professional		$56.24	$98.97	$156.91
United Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $80.23 / $128.13	Professional		$57.66	$80.23	$128.13