Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,380.38 / $1,548.82	Facility		$758.58	$1,380.38	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $1,380.38	Professional		$575.44	$616.60	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $912.01	Facility		$691.83	$691.83	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,698.24	Professional		$316.23	$457.09	$1,698.24