Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.02 / $936.00 / $1,831.00	Facility		$158.02	$936.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $158.02 / $200.69	Professional		$124.54	$158.02	$200.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.87 / $455.87 / $455.87	Professional		$455.87	$455.87	$455.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $38.25	Professional		$17.00	$20.00	$38.25
United Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $1,236.00 / $5,253.00	Facility		$690.00	$1,236.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $208.05 / $315.36	Professional		$163.22	$208.05	$315.36