Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.27 / $266.27 / $266.27	Facility		$266.27	$266.27	$266.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $266.27 / $345.28	Professional		$210.13	$266.27	$345.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $318.39 / $318.39	Facility		$64.00	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.82 / $266.27 / $359.48	Facility		$87.82	$266.27	$359.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $542.10 / $542.10 / $542.10	Professional		$542.10	$542.10	$542.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $23.71 / $49.05	Professional		$18.36	$23.71	$49.05