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 $51.29 / $51.29 / $57.54	Professional		$51.29	$51.29	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $346.74	Facility		$112.20	$194.98	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $89.13	Professional		$69.18	$77.62	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $141.25	Facility		$51.29	$64.57	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13