Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $2,173.00 / $3,596.58	Facility		$318.75	$2,173.00	$3,596.58
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 $1,048.77 / $1,931.24 / $3,193.74	Facility		$1,048.77	$1,931.24	$3,193.74
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
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