Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $4,375.00 / $16,467.00	Facility		$140.77	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $140.77 / $299.01	Professional		$120.47	$140.77	$299.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,608.88 / $2,950.99 / $4,887.02	Facility		$1,608.88	$2,950.99	$4,887.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $213.00 / $283.12	Professional		$119.39	$213.00	$283.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.25 / $140.77 / $297.83	Facility		$129.25	$140.77	$297.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,112.81 / $1,112.81 / $1,112.81	Professional		$1,112.81	$1,112.81	$1,112.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $112.41 / $123.48	Professional		$96.53	$112.41	$123.48
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 $117.16 / $160.04 / $324.81	Professional		$117.16	$160.04	$324.81