Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.90 / $105.90 / $1,488.93	Facility		$105.90	$105.90	$1,488.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $105.90 / $115.81	Professional		$105.90	$105.90	$115.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.16 / $2,216.51 / $3,868.86	Facility		$1,057.16	$2,216.51	$3,868.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $101.36 / $172.73	Professional		$85.00	$101.36	$172.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $116.49 / $189.70	Facility		$92.67	$116.49	$189.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00