Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $24.80 / $43.00	Facility		$20.00	$24.80	$43.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00