Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,513.56 / $2,570.40	Facility		$630.96	$1,513.56	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $380.19	Professional		$234.42	$338.84	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,495.41	Facility		$5,370.32	$5,370.32	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $50.12	Professional		$38.02	$42.66	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,467.37 / $7,943.28	Facility		$954.99	$3,467.37	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $891.25	Professional		$323.59	$436.52	$891.25