Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.32 / $891.32 / $3,748.47	Facility		$891.32	$891.32	$3,748.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.46 / $1,653.42 / $3,748.47	Professional		$503.46	$1,653.42	$3,748.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,905.07 / $22,523.86 / $38,555.61	Facility		$11,905.07	$22,523.86	$38,555.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.33 / $908.09 / $1,383.78	Professional		$306.33	$908.09	$1,383.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $453.29 / $1,819.45 / $2,600.17	Facility		$453.29	$1,819.45	$2,600.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,325.18 / $5,325.18 / $5,325.18	Professional		$5,325.18	$5,325.18	$5,325.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $915.60 / $1,155.34 / $1,745.89	Professional		$915.60	$1,155.34	$1,745.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.56 / $1,758.04 / $3,402.15	Professional		$1,224.56	$1,758.04	$3,402.15