Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.76 / $102.76 / $152.56	Facility		$102.76	$102.76	$152.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $111.37	Professional		$111.37	$111.37	$111.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $115.00 / $211.60	Facility		$100.00	$115.00	$211.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00