Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $22.84	Professional		$17.66	$17.66	$22.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $143.53 / $152.82	Professional		$19.50	$143.53	$152.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $30.62	Facility		$17.66	$17.66	$30.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00