Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $20.00 / $20.00	Facility		$12.00	$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 $28.33 / $28.33 / $28.33	Professional		$28.33	$28.33	$28.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $10.88 / $10.88	Professional		$10.88	$10.88	$10.88