Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $55.15	Facility		$13.64	$13.64	$55.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.14 / $14.14	Professional		$13.64	$14.14	$14.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $19.32 / $21.15	Facility		$17.07	$19.32	$21.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Professional		$15.68	$15.68	$15.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $15.00 / $18.41	Facility		$13.64	$15.00	$18.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00