Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $204.17	Professional		$91.20	$144.54	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $269.15	Professional		$120.23	$131.83	$269.15
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $147.91 / $173.78	Professional	25	$123.03	$147.91	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $213.80	Professional		$134.90	$173.78	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $257.04	Facility		$117.49	$141.25	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
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 $138.04 / $177.83 / $281.84	Professional		$138.04	$177.83	$281.84