Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $993.00 / $2,010.00	Facility		$706.00	$993.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.64 / $637.95 / $920.68	Professional		$505.64	$637.95	$920.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,722.63 / $2,722.63 / $2,722.63	Facility		$2,722.63	$2,722.63	$2,722.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,722.63 / $2,722.63 / $2,722.63	Professional		$2,722.63	$2,722.63	$2,722.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $25.00	Professional		$17.00	$20.00	$25.00
United Facility/Professional Facility Modifier Low / Median / High Price $985.00 / $3,572.00 / $10,251.00	Facility		$985.00	$3,572.00	$10,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $974.26 / $1,855.80	Professional		$766.00	$974.26	$1,855.80