Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $233.56 / $233.56	Facility		$233.56	$233.56	$233.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.56 / $233.56 / $641.82	Professional		$233.56	$233.56	$641.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,674.69 / $1,674.69 / $1,674.69	Facility		$1,674.69	$1,674.69	$1,674.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,060.79 / $2,060.79 / $2,060.79	Professional		$2,060.79	$2,060.79	$2,060.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $280.27 / $523.16	Facility		$233.56	$280.27	$523.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00