Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $69.18	Professional		$30.20	$44.67	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $47.86	Professional		$40.74	$40.74	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $74.13	Professional		$39.81	$54.95	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $81.28	Facility		$38.90	$47.86	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
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 $41.69 / $54.95 / $87.10	Professional		$41.69	$54.95	$87.10