Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $76.83 / $106.22	Professional		$63.87	$76.83	$106.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $107.63 / $145.04	Professional		$85.60	$107.63	$145.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $79.53 / $103.36	Facility		$78.68	$79.53	$103.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $79.53 / $79.53	Professional		$79.53	$79.53	$79.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $84.86 / $106.07	Professional		$84.86	$84.86	$106.07
United Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $92.57 / $94.43	Professional		$78.68	$92.57	$94.43