Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.35 / $401.36 / $684.73	Facility		$219.35	$401.36	$684.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $33.00 / $67.20	Facility		$30.00	$33.00	$67.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00