Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $15.46 / $15.46	Facility		$15.46	$15.46	$15.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $25.77 / $31.69	Professional		$15.46	$25.77	$31.69
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 $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
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 $70.00 / $75.00 / $100.00	Professional		$70.00	$75.00	$100.00