Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.12 / $106.12 / $429.04	Facility		$106.12	$106.12	$429.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.12 / $110.01 / $110.01	Professional		$106.12	$110.01	$110.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $175.96 / $281.02	Facility		$42.08	$175.96	$281.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.89 / $129.41 / $155.30	Professional		$113.89	$129.41	$155.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $116.73 / $164.95	Facility		$99.57	$116.73	$164.95
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 $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41