Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,250.00 / $1,831.00	Facility		$645.00	$1,250.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.10 / $1,044.23 / $1,507.01	Professional		$828.10	$1,044.23	$1,507.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,731.18 / $4,731.18 / $5,204.30	Facility		$4,731.18	$4,731.18	$5,204.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,148.00 / $6,612.00	Facility		$700.00	$2,148.00	$6,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,147.77 / $1,687.37 / $2,927.23	Professional		$1,147.77	$1,687.37	$2,927.23