Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $309.03	Professional		$181.97	$263.03	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $3,890.45	Facility		$1,023.29	$1,949.84	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $575.44	Facility		$251.19	$331.13	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95