Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.72 / $7,799.00 / $21,886.00	Facility		$1,875.72	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.72 / $2,112.02 / $2,112.02	Professional		$1,875.72	$2,112.02	$2,112.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,898.59 / $21,766.60 / $36,694.16	Facility		$11,898.59	$21,766.60	$36,694.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.00 / $7,954.17 / $9,911.69	Professional		$523.00	$7,954.17	$9,911.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,246.91 / $2,052.81 / $4,730.92	Facility		$1,246.91	$2,052.81	$4,730.92
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 $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.39 / $1,748.53 / $4,358.89	Professional		$1,288.39	$1,748.53	$4,358.89