Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $380.19	Professional		$223.87	$275.42	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $316.23 / $316.23	Facility		$64.57	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Professional		$269.15	$269.15	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $269.15 / $436.52	Facility		$64.57	$269.15	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $35.48	Professional		$30.20	$30.20	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $39.81 / $1,412.54	Facility		$28.84	$39.81	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $46.77	Professional		$18.20	$26.30	$46.77