Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $180.95 / $180.95	Facility		$180.95	$180.95	$180.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $180.95 / $183.16	Professional		$158.63	$180.95	$183.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.75 / $270.99 / $431.63	Facility		$119.75	$270.99	$431.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $187.57 / $221.93	Facility		$161.40	$187.57	$221.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $183.16 / $307.62	Facility		$166.71	$183.16	$307.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $166.71 / $274.47	Professional		$166.71	$166.71	$274.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00