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 $22.00 / $22.00 / $38.00	Facility		$22.00	$22.00	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $22.20 / $42.32	Facility		$20.00	$22.20	$42.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Professional		$11.23	$11.23	$11.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00