Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Facility		$973.77	$973.77	$973.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Professional		$973.77	$973.77	$973.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.59 / $4,402.03 / $8,916.76	Facility		$122.59	$4,402.03	$8,916.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $175.99	Professional		$175.99	$175.99	$175.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $1,017.21 / $1,655.41	Facility		$973.77	$1,017.21	$1,655.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00