Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $133.38	Facility		$116.71	$116.71	$133.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $116.71 / $133.38	Professional		$111.15	$116.71	$133.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $25.00	Professional		$17.00	$20.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $111.15 / $144.50	Professional		$105.59	$111.15	$144.50