Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $239.88	Facility		$30.20	$30.20	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $537.03	Professional		$30.20	$44.67	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $630.96	Professional		$218.78	$338.84	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,570.40 / $5,623.41	Facility		$50.12	$2,570.40	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $489.78 / $512.86	Professional		$223.87	$489.78	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $79.43	Professional		$42.66	$58.88	$79.43