Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $12.53 / $12.53	Facility		$12.53	$12.53	$12.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.89 / $14.64	Professional		$12.33	$12.89	$14.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.16 / $2,154.98 / $3,856.66	Facility		$1,057.16	$2,154.98	$3,856.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $19.14 / $40.86	Professional		$17.64	$19.14	$40.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $13.84 / $24.71	Facility		$12.53	$13.84	$24.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $53.88 / $53.88	Professional		$53.88	$53.88	$53.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00