Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.12 / $1,689.10 / $3,683.19	Facility		$332.12	$1,689.10	$3,683.19
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 $1,126.43 / $2,098.65 / $3,254.31	Facility		$1,126.43	$2,098.65	$3,254.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.13 / $1,797.13 / $1,807.57	Facility		$315.13	$1,797.13	$1,807.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $375.00 / $541.88	Facility		$318.75	$375.00	$541.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $300.42	Professional		$300.42	$300.42	$300.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00