Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.87 / $169.87 / $296.58	Facility		$169.87	$169.87	$296.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.87 / $269.63 / $296.58	Professional		$169.87	$269.63	$296.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $866.88 / $866.88 / $866.88	Facility		$866.88	$866.88	$866.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.00 / $1,025.00 / $1,025.00	Professional		$1,025.00	$1,025.00	$1,025.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00