Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.04 / $7,182.00 / $16,467.00	Facility		$134.04	$7,182.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.04 / $134.04 / $137.37	Professional		$134.04	$134.04	$137.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $96.16 / $153.16	Facility		$42.49	$96.16	$153.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.40 / $134.04 / $227.87	Facility		$132.40	$134.04	$227.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $154.68 / $267.54	Professional		$132.40	$154.68	$267.54