Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $195.18 / $195.18	Facility		$195.18	$195.18	$195.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $195.18 / $1,125.00	Professional		$110.00	$195.18	$1,125.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.41 / $191.97 / $323.92	Facility		$108.41	$191.97	$323.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.21 / $471.78 / $615.53	Facility		$44.21	$471.78	$615.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $118.94 / $148.68	Professional		$118.94	$118.94	$148.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $195.18 / $242.02	Facility		$122.94	$195.18	$242.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00