Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $64.00	Facility		$45.00	$45.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,264.00 / $1,264.00 / $1,264.00	Professional		$1,264.00	$1,264.00	$1,264.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.39	Professional		$30.00	$30.00	$100.39