Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $602.56 / $676.08	Facility		$91.20	$602.56	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $95.50 / $154.88	Facility		$91.20	$95.50	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $208.93	Professional		$141.25	$169.82	$208.93