Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $288.40 / $478.63	Facility		$162.18	$288.40	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $190.55	Professional		$158.49	$165.96	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $190.55	Facility		$141.25	$169.82	$190.55
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 Professional Modifier Low / Median / High Price $158.49 / $158.49 / $190.55	Professional		$158.49	$158.49	$190.55