Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $22.58 / $78.84	Facility		$5.45	$22.58	$78.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.75 / $31.04	Professional		$5.45	$9.75	$31.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $91.92 / $159.83	Facility		$30.07	$91.92	$159.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.59 / $40.15	Professional		$3.00	$4.59	$40.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $7.36 / $40.28	Facility		$5.45	$7.36	$40.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $19.36 / $31.04	Professional		$13.56	$19.36	$31.04