Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.77 / $144.77 / $585.30	Facility		$144.77	$144.77	$585.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $150.07 / $150.07	Professional		$144.77	$150.07	$150.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $117.53 / $197.62	Facility		$62.19	$117.53	$197.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $159.25 / $195.44	Facility		$115.10	$159.25	$195.44
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 $136.80 / $136.80 / $136.80	Professional		$136.80	$136.80	$136.80