Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $229.09 / $912.01	Facility		$95.50	$229.09	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $229.09	Professional		$72.44	$83.18	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $4,897.79	Facility		$1,479.11	$2,630.27	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $138.04	Professional		$66.07	$93.33	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $114.82 / $190.55	Facility		$79.43	$114.82	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $165.96	Professional		$74.13	$97.72	$165.96