Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $1,995.26	Facility		$416.87	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $281.84	Professional		$173.78	$245.47	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
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 $338.84 / $630.96 / $1,621.81	Facility		$338.84	$630.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $691.83	Professional		$251.19	$338.84	$691.83