Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,647.00 / $2,825.00	Facility		$900.00	$1,647.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.01 / $1,366.83 / $2,162.69	Professional		$955.01	$1,366.83	$2,162.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,710.09 / $6,710.09 / $6,710.09	Facility		$6,710.09	$6,710.09	$6,710.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.87 / $455.87 / $455.87	Professional		$455.87	$455.87	$455.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $25.00	Professional		$17.00	$20.00	$25.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,840.00 / $15,478.00 / $34,478.00	Facility		$1,840.00	$15,478.00	$34,478.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,782.96 / $2,271.63 / $4,758.57	Professional		$1,782.96	$2,271.63	$4,758.57