Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,621.81	Professional		$302.00	$302.00	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $48.98	Professional		$34.67	$37.15	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $512.86	Facility		$302.00	$302.00	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $70.79	Professional		$16.98	$30.20	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82