Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.42 / $307.42 / $307.42	Facility		$307.42	$307.42	$307.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $307.42 / $307.42	Professional		$203.99	$307.42	$307.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.41 / $191.97 / $323.92	Facility		$108.41	$191.97	$323.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $169.74 / $274.97	Professional		$160.00	$169.74	$274.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.21 / $149.68 / $615.53	Facility		$44.21	$149.68	$615.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $317.49	Professional		$254.00	$254.00	$317.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $307.42 / $392.00	Facility		$254.00	$307.42	$392.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00