Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.83 / $230.33 / $915.60	Facility		$95.83	$230.33	$915.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $95.83 / $132.80	Professional		$83.00	$95.83	$132.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,300.59 / $2,764.79 / $4,709.47	Facility		$1,300.59	$2,764.79	$4,709.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $97.45 / $163.52	Professional		$75.97	$97.45	$163.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $105.41 / $182.25	Facility		$80.64	$105.41	$182.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $584.78 / $990.23 / $1,112.81	Professional		$584.78	$990.23	$1,112.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $114.11 / $180.96	Professional		$82.40	$114.11	$180.96
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $113.71 / $216.56	Professional		$78.04	$113.71	$216.56