Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.95 / $126.95 / $126.95	Facility		$126.95	$126.95	$126.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $120.38 / $136.80	Professional		$109.44	$120.38	$136.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $310.17 / $402.73	Facility		$109.44	$310.17	$402.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
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 $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44