Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $157.69 / $157.69	Facility		$157.69	$157.69	$157.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $157.69 / $163.40	Professional		$153.90	$157.69	$163.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $167.51	Professional		$167.51	$167.51	$167.51