Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Professional		$171.96	$171.96	$171.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $524.57 / $1,249.05	Facility		$216.74	$524.57	$1,249.05
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 $354.90 / $354.90 / $354.90	Professional		$354.90	$354.90	$354.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $292.33	Facility		$171.96	$171.96	$292.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00