Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $1,106.86 / $1,216.33	Facility		$608.16	$1,106.86	$1,216.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.45 / $1,106.86 / $1,216.33	Professional		$480.45	$1,106.86	$1,216.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.62 / $821.03 / $821.03	Facility		$790.62	$821.03	$821.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $25.00 / $50.00	Professional		$21.25	$25.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $364.90 / $912.26	Professional		$255.43	$364.90	$912.26