Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.15 / $505.15 / $2,244.42	Facility		$505.15	$505.15	$2,244.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $947.45 / $2,244.42	Professional		$288.75	$947.45	$2,244.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,314.95 / $12,838.03 / $21,540.69	Facility		$6,314.95	$12,838.03	$21,540.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $530.97 / $1,056.79	Professional		$174.74	$530.97	$1,056.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.51 / $1,071.59 / $1,554.90	Facility		$257.51	$1,071.59	$1,554.90
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $483.67 / $1,815.86 / $2,210.78	Facility	50	$483.67	$1,815.86	$2,210.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,474.75 / $2,474.75 / $2,474.75	Professional		$2,474.75	$2,474.75	$2,474.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $528.12 / $672.88 / $1,016.63	Professional		$528.12	$672.88	$1,016.63
United Facility/Professional Professional Modifier Low / Median / High Price $728.10 / $1,154.72 / $2,022.86	Professional		$728.10	$1,154.72	$2,022.86