Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Facility		$33.32	$33.32	$33.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $39.70 / $47.90	Professional		$33.32	$39.70	$47.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.36 / $305.81 / $305.81	Facility		$229.36	$305.81	$305.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $46.77 / $99.87	Professional		$39.20	$46.77	$99.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $43.40 / $73.04	Facility		$33.32	$43.40	$73.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $146.10 / $146.10	Professional		$146.10	$146.10	$146.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00