Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,052.08	Professional		$687.10	$1,052.08	$1,052.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,357.59 / $2,632.96 / $4,326.75	Facility		$1,357.59	$2,632.96	$4,326.75
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 $781.69 / $781.69 / $1,056.61	Professional		$781.69	$781.69	$1,056.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $967.88 / $1,052.08 / $1,788.54	Facility		$967.88	$1,052.08	$1,788.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00