Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $80.20 / $91.13	Professional		$70.40	$80.20	$91.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $20.00	Professional		$14.00	$14.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $88.59 / $138.27	Professional		$55.00	$88.59	$138.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $87.19 / $115.78	Facility		$62.40	$87.19	$115.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $19.35 / $20.31	Professional		$15.48	$19.35	$20.31
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $91.71 / $152.74	Professional		$72.56	$91.71	$152.74