Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $40.74	Professional		$19.95	$25.12	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $354.81	Facility		$177.83	$213.80	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $35.48	Professional		$25.70	$28.84	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $46.77	Facility		$21.38	$28.18	$46.77
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 $37.15 / $47.86 / $79.43	Professional		$37.15	$47.86	$79.43