Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $67.61	Facility		$50.12	$57.54	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $114.82	Professional		$56.23	$79.43	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $89.13	Professional		$64.57	$74.13	$89.13
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	25	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $218.78	Professional		$72.44	$97.72	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $83.18 / $218.78	Facility		$57.54	$83.18	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
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 $69.18 / $91.20 / $141.25	Professional		$69.18	$91.20	$141.25