Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.75 / $71.75 / $78.75	Facility		$71.75	$71.75	$78.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Professional		$23.68	$23.68	$23.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Professional		$75.72	$75.72	$75.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $23.68 / $28.42	Facility		$8.00	$23.68	$28.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00