Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.40 / $1,145.06 / $2,173.79	Facility		$925.40	$1,145.06	$2,173.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.58 / $1,145.06 / $1,145.06	Professional		$1,033.58	$1,145.06	$1,145.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.85 / $2,302.88 / $3,664.53	Facility		$1,183.85	$2,302.88	$3,664.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.86 / $520.86 / $520.86	Professional		$520.86	$520.86	$520.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,145.06 / $1,213.76 / $1,946.60	Facility		$1,145.06	$1,213.76	$1,946.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00