Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Facility		$171.15	$171.15	$171.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Professional		$171.15	$171.15	$171.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.14 / $1,016.35 / $1,716.45	Facility		$522.14	$1,016.35	$1,716.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $162.68 / $162.68	Professional		$162.68	$162.68	$162.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $445.60 / $533.88	Professional		$99.14	$445.60	$533.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $188.27 / $362.84	Facility		$171.15	$188.27	$362.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00