Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Professional		$25.12	$25.12	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $100.00	Facility		$81.28	$91.20	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $37.15 / $41.69	Facility		$23.99	$37.15	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $28.84	Professional		$24.55	$24.55	$28.84