Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $15.24	Facility		$15.24	$15.24	$15.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $25.14 / $32.52	Professional		$15.24	$25.14	$32.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.93 / $188.93 / $188.93	Facility		$188.93	$188.93	$188.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $42.50 / $68.00	Professional		$21.25	$42.50	$68.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $80.00	Professional		$67.00	$67.00	$80.00