Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,379.28 / $3,983.03	Facility		$750.00	$1,379.28	$3,983.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.28 / $3,983.03 / $4,039.32	Professional		$1,379.28	$3,983.03	$4,039.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $2,625.00 / $2,625.00	Professional		$2,625.00	$2,625.00	$2,625.00
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 $690.00 / $1,223.00 / $4,093.00	Facility		$690.00	$1,223.00	$4,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,372.72 / $1,951.19 / $3,573.82	Professional		$1,372.72	$1,951.19	$3,573.82