Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $54.95	Professional		$26.92	$39.81	$54.95
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 $27.54 / $38.90 / $54.95	Facility		$27.54	$38.90	$54.95
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 $38.90 / $51.29 / $81.28	Professional		$38.90	$51.29	$81.28