Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.38 / $93.36 / $109.84	Facility		$82.38	$93.36	$109.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $98.77 / $125.74	Professional		$75.75	$98.77	$125.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $184.74 / $217.34	Professional		$184.74	$184.74	$217.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $108.99 / $175.30	Professional		$70.06	$108.99	$175.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.55 / $109.84 / $298.13	Facility		$84.55	$109.84	$298.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $89.55 / $89.55	Professional		$89.55	$89.55	$89.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $150.48 / $164.19	Professional		$129.53	$150.48	$164.19
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $97.65 / $170.06	Professional		$72.70	$97.65	$170.06