Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $346.74 / $346.74	Professional		$1.62	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $70.79	Professional		$30.20	$30.20	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08