Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $369.68	Professional		$369.68	$369.68	$369.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.05 / $1,408.05 / $1,408.05	Facility		$1,408.05	$1,408.05	$1,408.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $388.16 / $628.46	Facility		$369.68	$388.16	$628.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00