Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $133.07 / $154.47	Facility		$115.86	$133.07	$154.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $124.79 / $168.45	Professional		$98.18	$124.79	$168.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $122.13 / $219.76	Professional		$122.13	$122.13	$219.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $143.79 / $224.38	Professional		$101.00	$143.79	$224.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $143.85 / $218.57	Facility		$111.04	$143.85	$218.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $148.71 / $228.58	Professional		$108.32	$148.71	$228.58
United Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $140.38 / $230.32	Professional		$114.41	$140.38	$230.32