Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.39 / $1,410.00 / $2,825.00	Facility		$542.39	$1,410.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.74 / $484.01 / $688.83	Professional		$349.74	$484.01	$688.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57,672.08 / $57,672.08 / $63,439.29	Facility		$57,672.08	$57,672.08	$63,439.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.00 / $979.00 / $979.00	Professional		$979.00	$979.00	$979.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $42.50 / $50.00	Professional		$38.25	$42.50	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,840.00 / $15,478.00 / $34,478.00	Facility		$1,840.00	$15,478.00	$34,478.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.79 / $721.85 / $1,452.08	Professional		$530.79	$721.85	$1,452.08