Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $134.52 / $162.08	Professional		$129.66	$134.52	$162.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $152.84 / $281.20	Facility		$132.90	$152.84	$281.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $162.08 / $178.29	Professional		$153.97	$162.08	$178.29