Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $2,080.94 / $3,805.15	Facility		$239.37	$2,080.94	$3,805.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $239.37 / $239.37	Professional		$239.37	$239.37	$239.37
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 $364.65 / $364.65 / $364.65	Professional		$364.65	$364.65	$364.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $287.24 / $536.19	Facility		$239.37	$287.24	$536.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00