Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $650.00	Facility		$425.00	$425.00	$650.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $475.00	Professional		$425.00	$425.00	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.55 / $715.55 / $787.11	Facility		$715.55	$715.55	$787.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $192.95 / $192.95	Professional		$192.95	$192.95	$192.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $750.00 / $840.04	Facility		$199.39	$750.00	$840.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.98 / $1,717.98 / $1,717.98	Professional		$1,717.98	$1,717.98	$1,717.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00