Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $248.71	Facility		$248.71	$248.71	$248.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $248.71	Professional		$248.71	$248.71	$248.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.03 / $1,371.71 / $2,231.44	Facility		$696.03	$1,371.71	$2,231.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.08 / $404.08 / $404.08	Facility		$404.08	$404.08	$404.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $324.56 / $324.56	Professional		$324.56	$324.56	$324.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $261.14 / $422.81	Facility		$248.71	$261.14	$422.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00