Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $9,120.11 / $16,595.87	Facility		$1,202.26	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $9,332.54	Facility		$2,884.03	$5,248.07	$9,332.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,778.28	Facility		$1,202.26	$1,258.93	$1,778.28
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 $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13