Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $14.90	Facility		$14.90	$14.90	$14.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $83.20 / $86.40	Professional		$20.00	$83.20	$86.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $149.80	Facility		$140.00	$140.00	$149.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $62.00	Professional		$62.00	$62.00	$62.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00