Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.37 / $661.31 / $733.58	Facility		$361.37	$661.31	$733.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.48 / $661.31 / $733.58	Professional		$285.48	$661.31	$733.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $76.50 / $76.50	Facility		$76.50	$76.50	$76.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $76.50 / $76.50	Professional		$76.50	$76.50	$76.50
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 Professional Modifier Low / Median / High Price $151.78 / $216.82 / $614.33	Professional		$151.78	$216.82	$614.33