Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $9,120.11 / $16,595.87	Facility		$1,862.09	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,454.71	Professional		$1,380.38	$2,041.74	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $21,379.62 / $38,018.94	Facility		$12,022.64	$21,379.62	$38,018.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,122.02 / $9,772.37	Professional		$524.81	$1,122.02	$9,772.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $7,585.78	Facility		$1,584.89	$2,344.23	$7,585.78
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 $2,454.71 / $6,760.83 / $9,120.11	Facility		$2,454.71	$6,760.83	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $4,073.80	Professional		$1,148.15	$1,621.81	$4,073.80