Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.79 / $2,473.27 / $2,687.58	Facility		$640.79	$2,473.27	$2,687.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $118.61 / $152.28	Professional		$118.61	$118.61	$152.28
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 $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $142.33 / $265.69	Facility		$118.61	$142.33	$265.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00