Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $61.66	Professional		$28.18	$44.67	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $53.70	Professional		$35.48	$41.69	$53.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	25	$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $64.57	Professional		$40.74	$50.12	$64.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $44.67 / $77.62	Facility		$37.15	$44.67	$77.62
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 / $53.70 / $85.11	Professional		$41.69	$53.70	$85.11