Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $66.29 / $268.01	Facility		$66.29	$66.29	$268.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $68.70 / $68.70	Professional		$66.29	$68.70	$68.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.98 / $97.27 / $106.38	Facility		$85.98	$97.27	$106.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $76.95 / $92.34	Professional		$67.72	$76.95	$92.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $72.92 / $102.89	Facility		$62.11	$72.92	$102.89
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 $80.84 / $80.84 / $80.84	Professional		$80.84	$80.84	$80.84