Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $251.19	Professional		$169.82	$181.97	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $371.54	Professional		$173.78	$263.03	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $169.82	Facility		$165.96	$165.96	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $263.03	Professional		$173.78	$199.53	$263.03