Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
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 / $17.38 / $20.89	Professional		$10.96	$17.38	$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 $16.60 / $16.60 / $25.12	Facility		$16.60	$16.60	$25.12
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 / $14.45 / $28.18	Professional		$10.00	$14.45	$28.18