Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,584.89 / $2,570.40	Facility		$741.31	$1,584.89	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $50.12	Professional		$21.38	$25.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,445.44 / $4,073.80	Facility		$724.44	$1,445.44	$4,073.80