Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $3,342.90 / $4,025.01	Facility		$71.09	$3,342.90	$4,025.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $104.63 / $174.12	Professional		$71.09	$104.63	$174.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.45 / $869.45 / $869.45	Facility		$869.45	$869.45	$869.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $148.00 / $148.00	Professional		$148.00	$148.00	$148.00
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 $610.00 / $1,305.00 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $107.22 / $226.36	Professional		$79.68	$107.22	$226.36