Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $147.91	Professional		$83.18	$123.03	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $3,467.37	Facility		$812.83	$1,023.29	$3,467.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $144.54 / $251.19	Facility		$85.11	$144.54	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $54.95	Professional		$30.20	$54.95	$54.95