Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $128.91 / $128.91	Facility		$128.91	$128.91	$128.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $128.91 / $222.85	Professional		$128.91	$128.91	$222.85
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 $128.91 / $252.65 / $293.00	Facility		$128.91	$252.65	$293.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00