Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $190.55	Professional		$120.23	$151.36	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $3,890.45	Facility		$1,023.29	$2,041.74	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $257.04	Facility		$95.50	$165.96	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95