Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $54.95 / $54.95	Facility		$15.85	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $47.86 / $131.83	Facility		$8.51	$47.86	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $22.39	Facility		$16.60	$19.95	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $30.20	Professional		$10.72	$13.49	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $38.90	Professional		$32.36	$33.88	$38.90