Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $1,502.00 / $2,102.05	Facility		$740.00	$1,502.00	$2,102.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.71 / $954.09 / $2,102.05	Professional		$841.71	$954.09	$2,102.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,672.14 / $1,672.14 / $1,672.14	Facility		$1,672.14	$1,672.14	$1,672.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.00 / $1,121.00 / $1,121.00	Professional		$1,121.00	$1,121.00	$1,121.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,913.00 / $7,885.00	Facility		$860.00	$2,913.00	$7,885.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.04 / $1,029.58 / $1,978.63	Professional		$814.04	$1,029.58	$1,978.63