Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Facility		$617.41	$617.41	$617.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Professional		$617.41	$617.41	$617.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,541.07 / $2,619.39 / $4,331.07	Facility		$1,541.07	$2,619.39	$4,331.07
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 $744.63 / $744.63 / $744.63	Professional		$744.63	$744.63	$744.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $1,049.60	Facility		$617.41	$617.41	$1,049.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00