Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Facility		$171.00	$171.00	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $171.00 / $177.26	Professional		$166.83	$171.00	$177.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $198.11 / $290.70	Facility		$171.00	$198.11	$290.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $198.11 / $198.11	Professional		$198.11	$198.11	$198.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00