Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $20.89	Professional		$10.96	$20.42	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.22 / $54.95	Professional		$10.96	$11.22	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $38.90	Facility		$26.92	$26.92	$38.90
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 $10.00 / $13.18 / $25.70	Professional		$10.00	$13.18	$25.70