Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.19 / $5,004.09 / $9,613.79	Facility		$239.19	$5,004.09	$9,613.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.19 / $239.19 / $239.19	Professional		$239.19	$239.19	$239.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.97 / $1,042.97 / $1,042.97	Facility		$1,042.97	$1,042.97	$1,042.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,170.62 / $2,170.62 / $2,170.62	Professional		$2,170.62	$2,170.62	$2,170.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.19 / $287.02 / $507.08	Facility		$239.19	$287.02	$507.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00