Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $741.31	Professional		$371.54	$489.78	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $3,890.45	Facility		$1,023.29	$1,949.84	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $707.95 / $1,202.26	Facility		$380.19	$707.95	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95