Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $76.08 / $406.88	Facility		$65.69	$76.08	$406.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.34 / $276.04 / $449.30	Facility		$212.34	$276.04	$449.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00