Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.18 / $33.11	Facility		$23.99	$28.18	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $61.66	Professional		$26.92	$38.90	$61.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.76 / $7.76 / $7.76	Professional	25	$7.76	$7.76	$7.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $39.81	Professional		$30.20	$36.31	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $144.54	Professional		$36.31	$47.86	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $109.65	Facility		$28.18	$38.02	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
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 $35.48 / $44.67 / $67.61	Professional		$35.48	$44.67	$67.61