Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $119.99 / $263.14	Facility		$78.56	$119.99	$263.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $87.35 / $112.00	Professional		$74.01	$87.35	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $90.03 / $148.50	Facility		$87.35	$90.03	$148.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00