Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.59 / $7,799.00 / $21,886.00	Facility		$1,732.59	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,732.59 / $1,732.59 / $3,164.60	Professional		$1,732.59	$1,732.59	$3,164.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,518.30 / $14,691.52 / $24,766.02	Facility		$7,518.30	$14,691.52	$24,766.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,732.59 / $1,763.08 / $3,481.06	Facility		$1,732.59	$1,763.08	$3,481.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.76 / $1,318.76 / $1,342.93	Professional		$1,318.76	$1,318.76	$1,342.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,667.47 / $2,492.13 / $4,554.50	Professional		$1,667.47	$2,492.13	$4,554.50