Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.42 / $22.91	Facility		$19.05	$20.42	$22.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $416.87	Facility		$190.55	$190.55	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20