Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $68.69	Facility		$16.98	$16.98	$68.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.61 / $17.61	Professional		$16.98	$17.61	$17.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $6.32 / $6.92	Facility		$5.59	$6.32	$6.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $5.88	Professional		$5.88	$5.88	$5.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.91 / $32.99	Facility		$16.98	$19.91	$32.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $289.14 / $289.14	Professional		$289.14	$289.14	$289.14
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 $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72