Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $2,057.00 / $2,173.00	Facility		$318.75	$2,057.00	$2,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $425.00	Professional		$318.75	$318.75	$425.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.27 / $1,297.98 / $2,133.01	Facility		$756.27	$1,297.98	$2,133.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.01 / $1,151.72 / $1,216.36	Facility		$213.01	$1,151.72	$1,216.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $350.63 / $541.88	Facility		$318.75	$350.63	$541.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $187.72	Professional		$187.72	$187.72	$187.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00