Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $213.80 / $234.42	Facility		$57.54	$213.80	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $67.61	Professional		$47.86	$57.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $54.95	Professional		$51.29	$51.29	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $58.88 / $70.79	Facility		$45.71	$58.88	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Professional		$45.71	$45.71	$47.86
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 $0.15 / $1.48 / $13.80	Facility		$0.15	$1.48	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $14.79	Professional		$5.01	$12.59	$14.79