Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Professional		$64.00	$64.00	$64.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $219.03 / $407.83	Facility		$86.51	$219.03	$407.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.98 / $168.98 / $168.98	Facility		$168.98	$168.98	$168.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $70.40 / $103.68	Facility		$64.00	$70.40	$103.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $143.55 / $143.55	Professional		$143.55	$143.55	$143.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00