Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $5,313.67 / $5,839.20	Facility		$2,919.60	$5,313.67	$5,839.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,306.48 / $5,313.67 / $5,839.20	Professional		$2,306.48	$5,313.67	$5,839.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Facility		$2,919.60	$2,919.60	$2,919.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60
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 $1,226.23 / $1,751.76 / $4,963.32	Professional		$1,226.23	$1,751.76	$4,963.32