Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,019.95	Professional		$1,737.80	$1,737.80	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $3,630.78	Facility		$1,148.15	$2,041.74	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,162.28	Facility		$1,737.80	$1,737.80	$3,162.28
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 $3,311.31 / $3,801.89 / $5,011.87	Facility		$3,311.31	$3,801.89	$5,011.87