Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $689.79 / $1,300.00 / $1,300.00	Facility		$689.79	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $1,300.00 / $1,300.00	Professional		$73.06	$1,300.00	$1,300.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $59.89	Facility		$49.91	$49.91	$59.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00