Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Facility		$104.22	$104.22	$104.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Professional		$104.22	$104.22	$104.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $191.73 / $390.13	Facility		$112.34	$191.73	$390.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.97 / $284.97 / $284.97	Facility		$284.97	$284.97	$284.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $114.64 / $168.84	Facility		$104.22	$114.64	$168.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.60 / $264.60 / $264.60	Professional		$264.60	$264.60	$264.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00