Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $175.81	Facility		$175.81	$175.81	$175.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $175.81 / $182.24	Professional		$171.52	$175.81	$182.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $203.68 / $298.88	Facility		$175.81	$203.68	$298.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.68 / $203.68 / $203.68	Professional		$203.68	$203.68	$203.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00