Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.67 / $9,062.00 / $18,276.00	Facility		$828.67	$9,062.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.26 / $828.67 / $1,063.76	Professional		$639.26	$828.67	$1,063.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,304.81 / $9,451.96 / $15,370.07	Facility		$4,304.81	$9,451.96	$15,370.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.44 / $902.00 / $1,347.55	Professional		$538.44	$902.00	$1,347.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $639.26 / $911.54 / $1,134.42	Facility		$639.26	$911.54	$1,134.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,062.00 / $1,062.00 / $2,813.86	Professional		$1,062.00	$1,062.00	$2,813.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $391.00 / $646.52	Professional		$69.42	$391.00	$646.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,779.00 / $12,456.00 / $19,591.00	Facility		$1,779.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.54 / $747.92 / $1,317.37	Professional		$591.54	$747.92	$1,317.37