Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $63.12 / $63.12	Facility		$63.12	$63.12	$63.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $63.12 / $67.70	Professional		$60.62	$63.12	$67.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $228.40 / $384.05	Facility		$106.55	$228.40	$384.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $64.56 / $97.20	Facility		$61.98	$64.56	$97.20
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 Professional Modifier Low / Median / High Price $57.39 / $72.80 / $103.62	Professional		$57.39	$72.80	$103.62