Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,502.00 / $2,575.00	Facility		$710.00	$1,502.00	$2,575.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.69 / $524.69 / $524.69	Professional		$524.69	$524.69	$524.69
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 $690.00 / $1,223.00 / $4,093.00	Facility		$690.00	$1,223.00	$4,093.00