Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Professional		$14.82	$14.82	$14.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $208.30 / $415.14	Facility		$82.99	$208.30	$415.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $121.96 / $121.96	Facility		$121.96	$121.96	$121.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $16.30 / $24.01	Facility		$14.82	$16.30	$24.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.78 / $156.78 / $156.78	Professional		$156.78	$156.78	$156.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00