Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.09 / $108.09 / $108.09	Facility		$108.09	$108.09	$108.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $108.09 / $109.41	Professional		$82.22	$108.09	$109.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Facility		$112.05	$112.05	$112.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Professional		$112.05	$112.05	$112.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $108.09 / $183.75	Facility		$43.13	$108.09	$183.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $43.13 / $43.13	Professional		$43.13	$43.13	$43.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00