Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $195.81 / $264.33	Facility		$107.00	$195.81	$264.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $80.25 / $80.25	Professional		$80.25	$80.25	$80.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.44 / $144.44 / $144.44	Facility		$144.44	$144.44	$144.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $144.44 / $144.44	Professional		$144.44	$144.44	$144.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.20 / $182.65	Professional		$44.94	$64.20	$182.65