Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $3,548.13	Facility		$1,905.46	$3,162.28	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $3,162.28	Professional		$1,318.26	$1,445.44	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $50.12	Professional		$21.38	$25.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,089.30	Facility		$1,584.89	$1,584.89	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $3,890.45	Professional		$741.31	$1,047.13	$3,890.45