Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Facility		$17.73	$17.73	$17.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.73 / $18.39	Professional		$17.30	$17.73	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $19.00 / $30.16	Facility		$17.73	$19.00	$30.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00