Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $116.55 / $116.55	Facility		$116.55	$116.55	$116.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $116.55 / $171.36	Professional		$116.55	$116.55	$171.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.54 / $659.54 / $879.38	Facility		$659.54	$659.54	$879.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $147.66 / $234.66	Facility		$116.55	$147.66	$234.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00