Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $22.10 / $22.58	Facility		$5.45	$22.10	$22.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $6.95 / $15.58	Professional		$5.45	$6.95	$15.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $64.95 / $109.05	Facility		$12.69	$64.95	$109.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.99 / $40.15	Professional		$3.00	$3.99	$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 / $21.36 / $31.04	Professional		$13.56	$21.36	$31.04