Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $163.13	Facility		$40.35	$40.35	$163.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $40.35 / $41.83	Professional		$40.35	$40.35	$41.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $25.72 / $25.72	Facility		$21.86	$25.72	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $25.72	Professional		$21.86	$25.72	$25.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $41.83 / $54.53	Facility		$27.40	$41.83	$54.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $41.83	Professional		$16.00	$16.00	$41.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $61.02 / $76.27	Professional		$61.02	$61.02	$76.27
United Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $71.44 / $71.44	Professional		$28.58	$71.44	$71.44