Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $1,995.26	Facility		$416.87	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $309.03	Professional		$123.03	$190.55	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $79.43	Professional		$21.38	$42.66	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $1,659.59	Facility		$223.87	$575.44	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $1,023.29	Professional		$162.18	$338.84	$1,023.29