Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $229.09	Professional		$144.54	$194.98	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $3,715.35	Facility		$1,174.90	$2,238.72	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $251.19	Facility		$162.18	$194.98	$251.19
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 $5,495.41 / $6,309.57 / $8,317.64	Facility		$5,495.41	$6,309.57	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $380.19	Professional		$177.83	$234.42	$380.19