Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $64.57	Facility		$33.11	$41.69	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $54.95	Professional		$33.11	$39.81	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $104.71	Facility		$35.48	$35.48	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $229.09	Facility		$151.36	$173.78	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $51.29	Professional		$32.36	$36.31	$51.29