Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $154.88	Professional		$100.00	$123.03	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,905.46 / $3,890.45	Facility		$891.25	$1,905.46	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $223.87	Professional		$120.23	$131.83	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $275.42	Facility		$117.49	$147.91	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95