Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.81 / $360.81 / $668.78	Facility		$360.81	$360.81	$668.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.45 / $360.81 / $668.78	Professional		$202.45	$360.81	$668.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $64.56 / $64.56	Professional		$64.56	$64.56	$64.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.08 / $1,784.75 / $4,473.14	Facility		$787.08	$1,784.75	$4,473.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $219.06 / $302.32	Professional		$120.13	$219.06	$302.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.70 / $258.17 / $495.98	Facility		$166.70	$258.17	$495.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $594.97 / $1,080.58 / $1,286.61	Professional		$594.97	$1,080.58	$1,286.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $262.39 / $412.01	Professional		$192.13	$262.39	$412.01
United Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $287.89 / $588.48	Professional		$204.70	$287.89	$588.48