Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,493.75 / $5,197.50 / $9,235.79	Facility		$2,493.75	$5,197.50	$9,235.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $4,579.20	Professional		$402.32	$402.32	$4,579.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.42 / $104.42 / $104.42	Facility		$104.42	$104.42	$104.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $402.32 / $576.00	Facility		$402.32	$402.32	$576.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $402.32	Professional		$402.32	$402.32	$402.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00