Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,184.51 / $9,062.00 / $20,498.00	Facility		$2,184.51	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,184.51 / $2,290.00 / $2,290.00	Professional		$2,184.51	$2,290.00	$2,290.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,043.37 / $23,159.87 / $37,775.19	Facility		$12,043.37	$23,159.87	$37,775.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,246.91 / $2,184.51 / $6,829.57	Facility		$1,246.91	$2,184.51	$6,829.57
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 $3,340.00 / $21,721.00 / $33,299.00	Facility		$3,340.00	$21,721.00	$33,299.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.48 / $1,748.65 / $3,759.47	Professional		$1,288.48	$1,748.65	$3,759.47