Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.73 / $372.73 / $372.73	Facility		$372.73	$372.73	$372.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.73 / $372.73 / $738.73	Professional		$372.73	$372.73	$738.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.16 / $2,216.51 / $3,868.86	Facility		$1,057.16	$2,216.51	$3,868.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.73 / $790.19 / $1,010.93	Facility		$372.73	$790.19	$1,010.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00