Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.41 / $574.23 / $1,878.95	Facility		$263.41	$574.23	$1,878.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.85 / $719.37 / $771.67	Professional		$613.85	$719.37	$771.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.37 / $393.37 / $393.37	Professional		$393.37	$393.37	$393.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $197.63	Facility		$197.63	$197.63	$197.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.50 / $825.93 / $1,015.30	Professional		$598.50	$825.93	$1,015.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $507.82 / $792.56 / $1,022.70	Facility		$507.82	$792.56	$1,022.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $883.24	Professional		$883.24	$883.24	$883.24