Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $227.48 / $397.18	Facility		$227.48	$227.48	$397.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $375.67 / $477.48	Professional		$227.48	$375.67	$477.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,589.07 / $3,589.07 / $3,589.07	Facility		$3,589.07	$3,589.07	$3,589.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.00 / $925.00 / $3,589.07	Professional		$925.00	$925.00	$3,589.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $42.50 / $50.00	Professional		$21.25	$42.50	$50.00