Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Facility		$184.38	$184.38	$184.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Professional		$184.38	$184.38	$184.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.95 / $209.83 / $607.72	Facility		$94.95	$209.83	$607.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,519.58 / $1,519.58 / $1,519.58	Facility		$1,519.58	$1,519.58	$1,519.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $202.82 / $263.98	Facility		$184.38	$202.82	$263.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,079.07 / $1,079.07 / $1,079.07	Professional		$1,079.07	$1,079.07	$1,079.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00