Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $173.93 / $173.93	Facility		$173.93	$173.93	$173.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.74 / $173.93 / $180.22	Professional		$169.74	$173.93	$180.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $215.40	Professional		$30.00	$45.00	$215.40
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $202.90	Professional		$202.90	$202.90	$202.90