Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.86 / $7,799.00 / $21,886.00	Facility		$555.86	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.86 / $620.87 / $620.87	Professional		$555.86	$620.87	$620.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.44 / $464.44 / $464.44	Facility		$464.44	$464.44	$464.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.08 / $831.60 / $1,437.45	Facility		$398.08	$831.60	$1,437.45
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 $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.54 / $817.03 / $1,944.95	Professional		$601.54	$817.03	$1,944.95