Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $668.94	Facility		$91.66	$91.66	$668.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $93.33	Professional		$91.66	$91.66	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.21 / $348.21 / $348.21	Facility		$348.21	$348.21	$348.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $100.83 / $155.82	Facility		$91.66	$100.83	$155.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $178.60 / $217.53	Professional		$141.33	$178.60	$217.53