Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.34 / $174.34 / $704.86	Facility		$174.34	$174.34	$704.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $180.72 / $180.72	Professional		$174.34	$180.72	$180.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.30 / $378.56 / $636.52	Facility		$200.30	$378.56	$636.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $212.61 / $255.13	Professional		$187.10	$212.61	$255.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $191.77 / $270.64	Facility		$163.36	$191.77	$270.64
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 $180.30 / $180.30 / $180.30	Professional		$180.30	$180.30	$180.30