Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.44 / $296.39 / $458.05	Facility		$160.44	$296.39	$458.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $115.39 / $187.81	Facility		$88.76	$115.39	$187.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00