Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $93.33 / $109.65	Facility		$81.28	$93.33	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $147.91	Professional		$81.28	$107.15	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $134.90	Professional		$102.33	$114.82	$134.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $112.20 / $112.20 / $114.82	Professional	25	$112.20	$112.20	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $173.78	Professional		$70.79	$114.82	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $295.12	Facility		$85.11	$109.65	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
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 $72.44 / $104.71 / $177.83	Professional		$72.44	$104.71	$177.83