Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $6.40 / $25.88	Facility		$6.40	$6.40	$25.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $6.40 / $6.64	Professional		$6.40	$6.40	$6.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Facility		$4.82	$4.82	$4.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Professional		$4.82	$4.82	$4.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $6.64 / $7.94	Facility		$0.38	$6.64	$7.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $6.64	Professional		$0.03	$0.03	$6.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02