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 $93.33 / $117.49 / $134.90	Professional		$93.33	$117.49	$134.90
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 $117.49 / $154.88 / $257.04	Facility		$117.49	$154.88	$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