Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.37 / $58.37 / $235.99	Facility		$58.37	$58.37	$235.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $58.37 / $58.37	Professional		$48.86	$58.37	$58.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Professional		$49.22	$49.22	$49.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $58.37 / $72.38	Facility		$45.57	$58.37	$72.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $53.38 / $53.38	Professional		$45.57	$53.38	$53.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $16.22	Professional		$6.49	$16.22	$16.22