Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $100.00	Professional		$70.79	$81.28	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $131.83	Professional		$54.95	$87.10	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $128.82	Facility		$70.79	$87.10	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $20.42	Professional		$15.49	$19.50	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $134.90	Professional		$69.18	$87.10	$134.90