Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $302.00 / $495.99	Facility		$158.13	$302.00	$495.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $1,190.00	Facility		$700.00	$700.00	$1,190.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00