Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,513.56 / $2,570.40	Facility		$707.95	$1,513.56	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $851.14	Professional		$501.19	$741.31	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,090.30 / $9,549.93	Facility		$977.24	$3,090.30	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,862.09	Professional		$758.58	$977.24	$1,862.09