Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $25.12	Professional		$15.85	$19.05	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $354.81	Facility		$177.83	$213.80	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $36.31	Facility		$17.78	$22.39	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $54.95	Professional		$30.20	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $72.44	Professional		$30.20	$38.90	$72.44