Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $4,849.50 / $5,379.50	Facility		$2,650.00	$4,849.50	$5,379.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,093.50 / $4,849.50 / $5,379.50	Professional		$2,093.50	$4,849.50	$5,379.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $2,650.00	Facility		$2,650.00	$2,650.00	$2,650.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $2,650.00	Professional		$2,650.00	$2,650.00	$2,650.00
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 Professional Modifier Low / Median / High Price $1,113.00 / $1,590.00 / $4,505.00	Professional		$1,113.00	$1,590.00	$4,505.00