Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.77 / $766.77 / $3,100.05	Facility		$766.77	$766.77	$3,100.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.87 / $766.77 / $766.77	Professional		$734.87	$766.77	$766.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.53 / $887.22 / $1,451.36	Facility		$538.53	$887.22	$1,451.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $766.77 / $843.45 / $1,035.14	Facility		$766.77	$843.45	$1,035.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,210.00 / $1,210.00 / $1,210.00	Professional		$1,210.00	$1,210.00	$1,210.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00