Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,057.00 / $2,173.00	Facility		$425.00	$2,057.00	$2,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $425.00 / $425.00	Professional		$370.50	$425.00	$425.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.78 / $1,295.55 / $2,099.04	Facility		$727.78	$1,295.55	$2,099.04
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 $425.00 / $425.00 / $688.50	Facility		$425.00	$425.00	$688.50
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