Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.22 / $84.22 / $147.05	Facility		$84.22	$84.22	$147.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $133.69 / $147.05	Professional		$84.22	$133.69	$147.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $157.50 / $173.25	Facility		$157.50	$157.50	$173.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $108.87 / $108.87	Professional		$108.87	$108.87	$108.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $42.50 / $50.00	Professional		$21.25	$42.50	$50.00