Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Facility		$157.00	$157.00	$157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Professional		$157.00	$157.00	$157.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $29.40 / $64.00	Facility		$29.40	$29.40	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $172.70 / $332.21	Facility		$157.00	$172.70	$332.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00