Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,568.50 / $3,958.50	Facility		$1,950.00	$3,568.50	$3,958.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,540.50 / $3,568.50 / $3,958.50	Professional		$1,540.50	$3,568.50	$3,958.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional		$1,950.00	$1,950.00	$1,950.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,950.00	Facility		$1,755.00	$1,755.00	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $2,925.00	Professional		$819.00	$1,170.00	$2,925.00