Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Professional		$119.70	$119.70	$119.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $132.44	Facility		$94.50	$94.50	$132.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $94.50 / $150.55	Professional		$80.33	$94.50	$150.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $119.70 / $148.43	Facility		$119.70	$119.70	$148.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Professional		$119.70	$119.70	$119.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00