Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $376.69 / $376.69	Facility		$376.69	$376.69	$376.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.69 / $376.69 / $376.69	Professional		$376.69	$376.69	$376.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.69 / $650.91 / $1,224.64	Facility		$363.69	$650.91	$1,224.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $414.36 / $508.53	Facility		$376.69	$414.36	$508.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00