Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $794.64	Facility		$424.00	$424.00	$794.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $424.00	Professional		$360.40	$424.00	$424.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $688.80	Facility		$574.00	$574.00	$688.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $70.00	Professional		$30.00	$30.00	$70.00