Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $9,062.00 / $16,467.00	Facility		$1,201.78	$9,062.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $1,201.78	Professional		$1,201.78	$1,201.78	$1,201.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,929.73 / $5,730.24 / $9,570.28	Facility		$2,929.73	$5,730.24	$9,570.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $1,321.96 / $1,759.78	Facility		$1,201.78	$1,321.96	$1,759.78
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 $384.00 / $1,147.00 / $2,922.00	Facility		$384.00	$1,147.00	$2,922.00