Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $120.35 / $123.25	Professional		$116.00	$120.35	$123.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.39 / $720.39 / $720.39	Facility		$720.39	$720.39	$720.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $83.38 / $109.34	Professional		$83.38	$83.38	$109.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $123.25 / $123.25	Facility		$123.25	$123.25	$123.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $123.25	Professional		$80.54	$80.54	$123.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.25 / $120.35 / $202.13	Facility		$109.25	$120.35	$202.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $109.25 / $109.25	Professional		$109.25	$109.25	$109.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00