Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $99.57 / $402.56	Facility		$99.57	$99.57	$402.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $99.57 / $99.57	Professional		$97.54	$99.57	$99.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $48.47	Professional		$36.96	$36.96	$48.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $109.53 / $134.41	Facility		$35.22	$109.53	$134.41
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 $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19