Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $16,595.87	Facility		$6,760.83	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $5,128.61 / $5,754.40	Professional		$1,174.90	$5,128.61	$5,754.40
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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,248.07 / $10,964.78	Facility		$2,630.27	$5,248.07	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $22,387.21 / $37,153.52	Facility		$8,317.64	$22,387.21	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $3,235.94	Professional		$977.24	$1,380.38	$3,235.94