Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,888.44 / $16,595.87	Facility		$3,801.89	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $47.86 / $67.61	Professional		$10.96	$47.86	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $251.19	Facility		$79.43	$147.91	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.10 / $123.03	Facility		$33.88	$63.10	$123.03
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 Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $81.28	Professional		$18.20	$25.12	$81.28