Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,892.24 / $1,892.24 / $21,438.10	Facility		$1,892.24	$1,892.24	$21,438.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.53 / $3,570.56 / $21,438.10	Professional		$1,080.53	$3,570.56	$21,438.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,583.84 / $21,102.99 / $38,253.76	Facility		$8,583.84	$21,102.99	$38,253.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.84 / $2,092.80 / $9,965.12	Professional		$658.84	$2,092.80	$9,965.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $950.52 / $11,141.49 / $21,147.57	Facility		$950.52	$11,141.49	$21,147.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,325.18 / $12,877.36 / $16,747.71	Professional		$5,325.18	$12,877.36	$16,747.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,216.95 / $9,241.92 / $13,876.83	Professional		$7,216.95	$9,241.92	$13,876.83
United Facility/Professional Professional Modifier Low / Median / High Price $9,271.82 / $11,825.28 / $23,529.33	Professional		$9,271.82	$11,825.28	$23,529.33