Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $138.04	Professional		$95.50	$117.49	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $151.36	Professional		$117.49	$125.89	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $131.83 / $257.04	Facility		$114.82	$131.83	$257.04
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 Professional Modifier Low / Median / High Price $107.15 / $125.89 / $125.89	Professional		$107.15	$125.89	$125.89