Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $169.45 / $988.51	Professional		$131.28	$169.45	$988.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,820.55 / $4,647.53 / $11,027.71	Facility		$1,820.55	$4,647.53	$11,027.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $545.00 / $854.41	Professional		$144.78	$545.00	$854.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.98 / $563.59 / $863.00	Facility		$201.98	$563.59	$863.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $570.11 / $570.11 / $570.11	Professional		$570.11	$570.11	$570.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $104.33 / $164.97	Professional		$63.54	$104.33	$164.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,770.37 / $4,770.37 / $5,962.12	Facility		$4,770.37	$4,770.37	$5,962.12
United Facility/Professional Professional Modifier Low / Median / High Price $165.66 / $239.04 / $543.09	Professional		$165.66	$239.04	$543.09