Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $27.73 / $14,982.00	Facility		$27.73	$27.73	$14,982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $27.73	Professional		$27.73	$27.73	$27.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $94.45 / $206.23	Facility		$29.54	$94.45	$206.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Facility		$61.44	$61.44	$61.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $30.50 / $44.92	Facility		$27.73	$30.50	$44.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $60.94 / $60.94	Professional		$60.94	$60.94	$60.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00