Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $251.19	Facility		$177.83	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $177.83	Professional		$109.65	$154.88	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $251.19	Professional		$181.97	$190.55	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $501.19	Facility		$138.04	$194.98	$501.19
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 $138.04 / $158.49 / $223.87	Professional		$138.04	$158.49	$223.87