Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $36.31	Professional		$19.95	$25.12	$36.31
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 Facility Modifier Low / Median / High Price $21.38 / $30.20 / $51.29	Facility		$21.38	$30.20	$51.29
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 $37.15 / $77.62 / $102.33	Professional		$37.15	$77.62	$102.33