Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Professional		$1,908.26	$1,908.26	$1,908.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $2,366.23	Facility		$1,908.26	$1,908.26	$2,366.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,501.75 / $2,501.75 / $2,501.75	Professional		$2,501.75	$2,501.75	$2,501.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00