Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $85.03	Facility		$85.03	$85.03	$85.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $197.44	Professional		$85.03	$85.03	$197.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.12 / $264.42 / $448.93	Facility		$144.12	$264.42	$448.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $69.58 / $69.58	Professional		$69.58	$69.58	$69.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $75.23	Professional		$75.23	$75.23	$75.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $173.75 / $280.86	Facility		$157.94	$173.75	$280.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $28.35 / $3,000.00	Professional		$27.00	$28.35	$3,000.00