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 $893.71 / $1,495.48 / $2,533.92	Facility		$893.71	$1,495.48	$2,533.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.12 / $863.58 / $895.82	Facility		$158.12	$863.58	$895.82
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 $145.72 / $145.72 / $145.72	Professional		$145.72	$145.72	$145.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $178.55 / $178.55	Facility		$178.55	$178.55	$178.55