Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.43 / $278.43 / $278.43	Facility		$278.43	$278.43	$278.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.25 / $278.43 / $298.74	Professional		$264.25	$278.43	$298.74
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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.83 / $306.27 / $474.64	Facility		$249.83	$306.27	$474.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00