Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Professional		$107.15	$107.15	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $354.81 / $588.84	Facility		$186.21	$354.81	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $309.03	Professional		$251.19	$269.15	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $295.12	Facility		$218.78	$263.03	$295.12
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 $218.78 / $251.19 / $263.03	Professional		$218.78	$251.19	$263.03