Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $1,268.21 / $2,057.98	Facility		$12.53	$1,268.21	$2,057.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $13.04 / $15.01	Professional		$12.33	$13.04	$15.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $910.75 / $2,147.01 / $3,856.66	Facility		$910.75	$2,147.01	$3,856.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $15.95 / $34.06	Professional		$14.70	$15.95	$34.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $14.95 / $25.25	Facility		$12.53	$14.95	$25.25
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