Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,211.65 / $3,562.65	Facility		$1,755.00	$3,211.65	$3,562.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.45 / $3,211.65 / $3,562.65	Professional		$1,386.45	$3,211.65	$3,562.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.50 / $325.50 / $325.50	Facility		$325.50	$325.50	$325.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.50 / $325.50 / $325.50	Professional		$325.50	$325.50	$325.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $30.00 / $50.00	Professional		$21.25	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,579.50 / $1,579.50 / $1,755.00	Facility		$1,579.50	$1,579.50	$1,755.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $2,995.73	Professional		$737.10	$1,053.00	$2,995.73