Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $239.88	Professional		$81.28	$95.50	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $79.43 / $107.15	Professional		$21.88	$79.43	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $165.96	Professional		$67.61	$102.33	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $100.00 / $141.25	Facility		$81.28	$100.00	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $147.91	Professional		$75.86	$97.72	$147.91