Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $133.15 / $961.78	Professional		$133.15	$133.15	$961.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.18	Facility		$204.05	$204.05	$273.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $437.34	Professional		$173.44	$204.05	$437.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.92 / $199.17 / $287.09	Professional		$136.92	$199.17	$287.09
United Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $144.97 / $250.41	Facility		$14.50	$144.97	$250.41
United Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $158.15 / $295.88	Professional		$133.15	$158.15	$295.88