Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.52 / $187.52 / $187.52	Facility		$187.52	$187.52	$187.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $100.82 / $100.82	Professional		$100.82	$100.82	$100.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $57.50 / $105.80	Facility		$50.00	$57.50	$105.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00