Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $169.82	Professional		$104.71	$123.03	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $1,584.89	Facility		$645.65	$794.33	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $173.78 / $302.00	Facility		$117.49	$173.78	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95