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 / $2,010.00	Facility		$740.00	$1,502.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.89 / $890.57 / $1,988.08	Professional		$801.89	$890.57	$1,988.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,644.37 / $3,644.37 / $3,644.37	Facility		$3,644.37	$3,644.37	$3,644.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,570.00 / $1,570.00 / $1,570.00	Professional		$1,570.00	$1,570.00	$1,570.00
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 $985.00 / $3,968.00 / $10,251.00	Facility		$985.00	$3,968.00	$10,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.10 / $1,032.00 / $2,028.92	Professional		$791.10	$1,032.00	$2,028.92