Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $257.04 / $645.65	Facility		$83.18	$257.04	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $47.86 / $74.13	Facility		$45.71	$47.86	$74.13
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 $3,715.35 / $4,265.80 / $5,623.41	Facility		$3,715.35	$4,265.80	$5,623.41