Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $122.03 / $122.03	Facility		$122.03	$122.03	$122.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $122.03 / $133.26	Professional		$122.03	$122.03	$133.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,008.96 / $2,216.51 / $3,868.86	Facility		$1,008.96	$2,216.51	$3,868.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $143.10 / $250.90	Professional		$120.00	$143.10	$250.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $134.22 / $218.84	Facility		$110.00	$134.22	$218.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00