Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,801.89	Professional		$1,548.82	$1,548.82	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,786.30	Professional		$3,801.89	$3,801.89	$4,786.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,995.26	Facility		$1,548.82	$1,548.82	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95