Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $993.00 / $2,010.00	Facility		$388.77	$993.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $346.92 / $493.74	Professional		$250.78	$346.92	$493.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,372.87 / $5,372.87 / $5,612.43	Facility		$5,372.87	$5,372.87	$5,612.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $810.00 / $810.00	Professional		$810.00	$810.00	$810.00
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 $860.00 / $3,628.00 / $8,974.00	Facility		$860.00	$3,628.00	$8,974.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.30 / $510.20 / $1,023.95	Professional		$374.30	$510.20	$1,023.95