Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.72 / $7,799.00 / $21,886.00	Facility		$536.72	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.72 / $536.72 / $1,760.74	Professional		$536.72	$536.72	$1,760.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,518.30 / $14,691.52 / $24,766.02	Facility		$7,518.30	$14,691.52	$24,766.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $536.72 / $723.53 / $1,485.36	Facility		$536.72	$723.53	$1,485.36
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 Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.70 / $2,206.76 / $4,554.50	Professional		$1,461.70	$2,206.76	$4,554.50