Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.17 / $4,909.91 / $8,497.91	Facility		$91.17	$4,909.91	$8,497.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $137.47	Professional		$137.47	$137.47	$137.47
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 $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $164.96 / $307.93	Facility		$137.47	$164.96	$307.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00