Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Facility		$3,768.95	$3,768.95	$3,768.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Professional		$3,768.95	$3,768.95	$3,768.95
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 $1,926.60 / $1,926.60 / $1,926.60	Professional		$1,926.60	$1,926.60	$1,926.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $5,088.08	Facility		$3,768.95	$3,768.95	$5,088.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Professional		$3,768.95	$3,768.95	$3,768.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00