Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $1,002.38	Professional		$503.29	$503.29	$1,002.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $430.42	Facility		$390.00	$390.00	$430.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $397.80	Professional		$331.50	$390.00	$397.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.29 / $503.29 / $603.95	Facility		$446.29	$503.29	$603.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $629.11 / $629.11 / $629.11	Professional		$629.11	$629.11	$629.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $70.00	Professional		$30.00	$30.00	$70.00