Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.01 / $260.01 / $260.01	Facility		$260.01	$260.01	$260.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $260.01 / $260.01	Professional		$260.01	$260.01	$260.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,028.92 / $5,028.92 / $5,028.92	Facility		$5,028.92	$5,028.92	$5,028.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,653.15 / $23,813.68 / $38,439.17	Facility		$3,653.15	$23,813.68	$38,439.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.00 / $260.01 / $364.01	Facility		$223.00	$260.01	$364.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,104.29 / $3,104.29 / $3,104.29	Professional		$3,104.29	$3,104.29	$3,104.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00