Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.26 / $9,062.00 / $18,276.00	Facility		$1,647.26	$9,062.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.47 / $1,581.38 / $1,653.61	Professional		$1,272.47	$1,581.38	$1,653.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,304.81 / $9,451.96 / $15,370.07	Facility		$4,304.81	$9,451.96	$15,370.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.44 / $1,454.24 / $2,444.04	Professional		$1,208.44	$1,454.24	$2,444.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $1,562.32 / $2,124.96	Facility		$1,168.00	$1,562.32	$2,124.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,062.00 / $1,062.00 / $4,176.08	Professional		$1,062.00	$1,062.00	$4,176.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $911.50 / $1,443.36	Professional		$138.85	$911.50	$1,443.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $15,451.00 / $23,485.00	Facility		$2,912.00	$15,451.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.27 / $1,359.50 / $2,279.58	Professional		$1,060.27	$1,359.50	$2,279.58