Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.88 / $22.39	Facility		$16.60	$21.88	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $32.36	Professional		$5.01	$7.94	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $21.88	Professional		$5.01	$5.01	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $114.82	Facility		$35.48	$67.61	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $33.11 / $40.74	Professional		$3.02	$33.11	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.41 / $28.84	Facility		$5.50	$7.41	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $302.00	Facility		$194.98	$229.09	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $30.90	Professional		$13.49	$19.50	$30.90