Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $67.61	Facility		$51.29	$57.54	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $97.72	Professional		$54.95	$70.79	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $89.13	Professional		$60.26	$70.79	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $123.03	Professional		$53.70	$79.43	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $223.87	Facility		$57.54	$67.61	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
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 $56.23 / $72.44 / $128.82	Professional		$56.23	$72.44	$128.82