Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,148.15	Professional		$416.87	$416.87	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $3,630.78	Facility		$1,148.15	$2,041.74	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $1,258.93	Facility		$416.87	$467.74	$1,258.93
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 Facility Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $5,011.87	Facility		$3,311.31	$3,801.89	$5,011.87