Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $15.00 / $15.00	Facility		$9.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
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 $1.68 / $1.68 / $1.68	Professional		$1.68	$1.68	$1.68
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 $1.30 / $1.30 / $1.30	Professional		$1.30	$1.30	$1.30