Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $338.84	Facility		$239.88	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $239.88	Professional		$147.91	$213.80	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $338.84	Professional		$245.47	$257.04	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $676.08	Facility		$218.78	$263.03	$676.08
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 $208.93 / $251.19 / $338.84	Professional		$208.93	$251.19	$338.84