Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $1,726.72	Facility		$1,726.72	$1,726.72	$1,726.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $3,135.93	Professional		$1,726.72	$1,726.72	$3,135.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,129.85 / $2,199.21 / $3,664.53	Facility		$1,129.85	$2,199.21	$3,664.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,899.39 / $3,583.21	Facility		$1,726.72	$1,899.39	$3,583.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00