Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $616.60 / $1,862.09	Facility		$263.03	$616.60	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $794.33	Professional		$467.74	$724.44	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $977.24	Professional		$616.60	$776.25	$977.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $933.25	Facility		$616.60	$794.33	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Professional		$891.25	$891.25	$933.25