Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $432.25 / $432.25	Facility		$174.10	$432.25	$432.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $174.10	Professional		$89.88	$174.10	$174.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.30 / $1,109.13 / $1,799.37	Facility		$630.30	$1,109.13	$1,799.37
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 $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $177.58 / $368.39	Facility		$174.10	$177.58	$368.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00