Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Professional		$50.12	$50.12	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.18	Facility		$0.15	$0.15	$0.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.16	Professional		$0.15	$0.15	$0.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.28 / $0.68	Facility		$0.07	$0.28	$0.68
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.72 / $0.72	Professional		$0.28	$0.72	$0.72