Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.84 / $577.84 / $6,631.35	Facility		$577.84	$577.84	$6,631.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.11 / $1,083.45 / $6,631.35	Professional		$330.11	$1,083.45	$6,631.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,679.74 / $13,319.52 / $21,386.98	Facility		$6,679.74	$13,319.52	$21,386.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $664.47 / $3,014.43	Professional		$201.00	$664.47	$3,014.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $292.39 / $2,695.02 / $4,499.85	Facility		$292.39	$2,695.02	$4,499.85
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $551.28 / $5,146.01 / $5,881.15	Facility	50	$551.28	$5,146.01	$5,881.15
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 $1,049.12 / $1,339.14 / $2,024.42	Professional		$1,049.12	$1,339.14	$2,024.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $3,128.34 / $5,167.12	Professional		$1,787.62	$3,128.34	$5,167.12