Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $104.69	Facility		$104.69	$104.69	$104.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $104.69 / $104.69	Professional		$104.69	$104.69	$104.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $64.34 / $84.38	Professional		$64.34	$64.34	$84.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Professional		$62.16	$62.16	$62.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $104.69 / $177.97	Facility		$79.56	$104.69	$177.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $79.56	Professional		$79.56	$79.56	$79.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00