Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $72.02 / $120.03	Facility		$63.47	$72.02	$120.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $120.03	Professional		$67.27	$67.27	$120.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $72.02 / $120.03	Facility		$63.47	$72.02	$120.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $120.03	Professional		$67.27	$67.27	$120.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $201.81	Professional		$67.27	$67.27	$201.81