Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Professional		$252.64	$252.64	$252.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $92.46 / $410.89	Facility		$77.77	$92.46	$410.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $328.43 / $534.58	Facility		$252.64	$328.43	$534.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00