Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $48.98	Professional		$30.20	$38.90	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $20.89 / $35.48	Facility		$11.22	$20.89	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $66.07	Facility		$30.20	$42.66	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $181.97 / $239.88	Facility		$158.49	$181.97	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $81.28	Professional		$40.74	$53.70	$81.28