Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.03 / $1.03 / $4.16	Facility		$1.03	$1.03	$4.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $1.28	Professional		$1.03	$1.03	$1.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.91 / $1.39	Facility		$0.33	$0.91	$1.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Professional		$235.83	$235.83	$235.83