Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $93.33 / $112.20	Facility		$83.18	$93.33	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $223.87	Professional		$93.33	$123.03	$223.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	25	$128.82	$128.82	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $162.18	Professional		$100.00	$120.23	$162.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $123.03 / $128.82	Professional	25	$117.49	$123.03	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $346.74	Professional		$100.00	$141.25	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $123.03 / $363.08	Facility		$95.50	$123.03	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
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 $102.33 / $125.89 / $208.93	Professional		$102.33	$125.89	$208.93